Scott A Marshall1, Paul Nyquist. 1. Department of Neurosciences Critical Care, The Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD, USA. smarsh15@jhmi.edu
Abstract
INTRODUCTION: Stroke is the third most common cause of death in the Western World and is a condition seen by Neurologists, General Physicians and Primary Care Physicians. Neurogenic pulmonary edema can complicate the management of large strokes and cerebral hemorrhage. While the principles of management of this type of pulmonary edema are similar to the more common cardiogenic pulmonary edema, placing a patient in the prone position may be a helpful maneuver facilitating recovery. METHODS: We describe a case of basilar thrombosis treated with intra-arterial thrombolysis where prone ventilation was employed to treat neurogenic cardio-pulmonary complications. RESULTS: This resulted in rapid resolution of neurogenic pulmonary edema and patient recovery after recanulation of the basilar artery by intra-arterial urokinase. CONCLUSION: This technique of prone positioning for ventilation is of importance to physicians who manage stroke and its complications.
INTRODUCTION:Stroke is the third most common cause of death in the Western World and is a condition seen by Neurologists, General Physicians and Primary Care Physicians. Neurogenic pulmonary edema can complicate the management of large strokes and cerebral hemorrhage. While the principles of management of this type of pulmonary edema are similar to the more common cardiogenic pulmonary edema, placing a patient in the prone position may be a helpful maneuver facilitating recovery. METHODS: We describe a case of basilar thrombosis treated with intra-arterial thrombolysis where prone ventilation was employed to treat neurogenic cardio-pulmonary complications. RESULTS: This resulted in rapid resolution of neurogenic pulmonary edema and patient recovery after recanulation of the basilar artery by intra-arterial urokinase. CONCLUSION: This technique of prone positioning for ventilation is of importance to physicians who manage stroke and its complications.
Authors: Mats J Johansson; Andreas Wiklund; Torun Flatebø; Anne Nicolaysen; Gunnar Nicolaysen; Sten M Walther Journal: Crit Care Med Date: 2004-10 Impact factor: 7.598