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Noncardiac Pulmonary Edema, Newer Environmental Aspects

An Update

Saint Luke's Medical Center, Case Western Reserve University, and The Cleveland Clinic Foundation (Emeritus Staff), Cleveland, Ohio

Donald E. Burns

Ohio University School of Osteopathic Medicine, Athens, and Grandview General Hospital, Dayton, Ohio

Fred Beerel

State University of New York at Buffalo, New York

J.W. Vance

State University of New York at Buffalo, New York

Steven Demeter

Northeastern Universities, College of Medicine, Rootstown, Ohio

Martha A. Cordasco

private practice, Dayton, Ohio

Peter Lubs

Saint Luke's Medical Center and Cleveland Clinic Foundation, Cleveland, Ohio

Oscar Piedad

State University of New York at Buffalo, New York

M. Popovici

Niagara Frontier Environmental Research Foundation and Niagara County Health Department, Lockport, New York

Kenneth Piech

Calspan Corporation, Buffalo, New York

Carl Zenz

Wisconsin College of Medicine, Milwaukee, Wisconsin

Accidental spread of potentially toxic gases, fumes, and particulate chemicals has been reported recently in various cities throughout the country and appears to be on the increase throughout the world in the past few years. Moreover, cerebral trauma, septic shock (ARDS), and environmental pulmonary edema from drug intoxication have been commonly encountered. Newer modalities of treatment include earlier fiber optic bron choscopy, constant positive airway pressure mask, administration of surfactant, pentox ifylline, and use of newer experimental agents such as nitrous oxide, antitumor necrosis factor (ATNF), and extracorporeal carbon dioxide with low-frequency positive pressure (ECC02R-LFPPV). The future holds promise for probable reductions in both morbidity and mortality rates of this ubiquitous occupational and environmental health problem, which is of global importance.

Angiology, Vol. 46, No. 9, 759-766 (1995)
DOI: 10.1177/000331979504600901


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