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Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock
Published on: November 3, 2023
Sudden oronasal bleeding in a young child.
1shey@easynet.co.uk
Acta Paediatrica (Oslo, Norway : 1992)
|July 24, 2008
Summary
Sudden upper-airway obstruction can cause acute pulmonary edema with bleeding. This condition, often presenting as bloody fluid from the mouth or nose, typically resolves within 24 hours.
Area of Science:
- Pulmonary Medicine
- Emergency Medicine
- Pediatrics
Background:
- Sudden severe upper-airway obstruction can precipitate acute hemorrhagic pulmonary edema.
- This complication is observed in hospital settings.
- Other causes of acute pulmonary hemorrhage are rare in young children.
Purpose of the Study:
- To review and analyze case reports of acute hemorrhagic pulmonary edema following upper-airway obstruction.
- To identify the common presenting features and clinical course of this condition.
Main Methods:
- A comprehensive review of 197 published case reports.
- Analysis of presenting symptoms, onset, and resolution times.
Main Results:
- The primary presenting feature is expectoration of blood-stained fluid from the airways (larynx, mouth, nose).
- This occurs in 10-15% of cases of sudden, severe, but non-lethal, upper-airway obstruction.
- Signs appear within minutes to hours after obstruction relief and resolve within 12-24 hours.
Conclusions:
- The presence of blood in or from the mouth/nose in a distressed child suggests acute pulmonary edema.
- Sudden upper-airway obstruction is the most common cause in this scenario.
- Prompt recognition and management are crucial for favorable outcomes.
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