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Pulmonary oedema

Pulmonary oedema is fluid accumulation in the lungs. It leads to impaired gas exchange and may cause respiratory failure. It is due to either failure of the heart to remove fluid from the lung circulation or a direct injury to the lung parenchyma. Treatment depends on the cause, but focuses on maximizing respiratory function and removing the cause. Terapy must be fast and intensive. This algorithm takes us through the situation from ensuring the patient in prehospital care until professional treatment and therapy in the hospital.

Author: MUDr. Ivo Křikava, Markéta Kleinová, Lucie Jamborová

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

Educational evel: Undergraduate level | Graduate

Pulmonary oedema is fluid accumulation in the lungs. It leads to impaired gas exchange and may cause respiratory failure. It is due to either failure of the heart to remove fluid from the lung circulation or a direct injury to the lung parenchyma. Treatment depends on the cause, but focuses on maximizing respiratory function and removing the cause. Terapy must be fast and intensive. This algorithm takes us through the situation from ensuring the patient in prehospital care until professional treatment and therapy in the hospital.


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Review

Reviewer: 

Prof. Jindrich Spinar M.D., FESC;  Internal Cardiology Dpt., University Hospital Brno,  Brno, Czech Republic

Pulmonary oedema is a clinical entity, which can have different causes. Algorithm of diagnostic and treatment efforts must be based on the best and most quickly diagnose with following targeted treatment. The presented algorithm is dedicated to prehospital and hospital care and is instructive for students and young doctors. The case report is simple, concise and describes the basic procedures for nonischemic etiology of pulmonary edema.

 

 

publikováno: 26.8.2014 | last modified on: 16.5.2018