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[Hemodynamic data in lesional pulmonary edemas]

A Harari, F Lemaire, B Regnier

    Annales De L'Anesthesiologie Francaise
    |January 1, 1975
    PubMed
    Summary
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    Lesional pulmonary edema (P.E.) can occur with normal pulmonary capillary pressure (PCP). This study highlights that excessive fluid administration worsens P.E., while dehydration improves oxygenation.

    Area of Science:

    • Cardiovascular and Respiratory Medicine
    • Pulmonary Circulation Dynamics

    Context:

    • Distinguishing lesional pulmonary edema from hemodynamic pulmonary edema is crucial.
    • Lesional pulmonary edema presents with normal pulmonary capillary pressure (PCP).
    • Hemodynamic assessment is key in understanding pulmonary edema pathophysiology.

    Purpose:

    • To investigate the hemodynamic profile of lesional pulmonary edema.
    • To evaluate the role of pulmonary capillary pressure (PCP) in lesional pulmonary edema.
    • To assess the impact of fluid management on lesional pulmonary edema.

    Summary:

    • A hemodynamic study in 42 lesional pulmonary edema cases found consistently normal PCP.
    • Pulmonary arterial hypertension correlated with hypoxemia and resolved with its correction.

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  • Initial PCP was higher than after 6 hours; colloid infusion worsened edema, while dehydration improved hematosis.

    • Impact:

    • Confirms that pulmonary edema can manifest with normal PCP.
    • Underscores the detrimental effects of excessive fluid resuscitation in these cases.
    • Demonstrates the therapeutic benefit of dehydration in managing lesional pulmonary edema.