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Published on: October 12, 2011
Neurogenic Pulmonary Edema in Traumatic Brain Injury
Ramanan Rajagopal1, Swaminathan Ganesh1, Muralidharan Vetrivel1
1Department of Neurological Sciences, CMC, Vellore, Tamil Nadu, India.
Abstract:
A 29-year-old male admitted with severe traumatic brain injury following a road traffic accident was sedated and ventilated uneventfully for 72 h. On the fourth posttrauma day, after stopping sedation to assess readiness for extubation, he developed sudden onset desaturation; arterial blood gas showed severe diffusion defect with very low PaO2/FiO2 ratio following an episode of generalized tonic-clonic seizure. The differential diagnoses and further management are discussed.
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