naa a22 4500 510800181 CHVBK 20180411083351.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12028-013-9828-z doi (NATIONALLICENCE)springer-10.1007/s12028-013-9828-z Bedside Lung Ultrasound: A Case of Neurogenic Pulmonary Edema [Elektronische Daten] [Vladimir Merenkov, Alexey Kovalev, Vyacheslav Gorbunov] Background: Neurogenic pulmonary edema (NPE) is an acute life-threatening complication associated with many forms of central nervous system injury. NPE usually appears within minutes to hours after injury and has a high mortality rate if not recognized and treated appropriately. Lung ultrasound quickly provides at the bedside relevant information on the state of aeration and ventilation of the lung. Methods: We describe a case report of acute respiratory insufficiency after posterior cranial fossa surgery. Results: The patient underwent a subtotal meningiomectomy. Postoperative course was complicated by respiratory failure with unstable hemodynamic parameters. The pulmonary edema was suspected, and sonography examination was performed. Lung ultrasound showed typical signs for non-cardiogenic pulmonary edema. Transthoracic echocardiography showed preserved left ventricle systolic function, but signs of the severe hypovolemia were found. We corrected for the preload and ventilator support settings. Within 24h, her respiratory status improved with a resolution of the pulmonary edema. Conclusions: Lung ultrasound at the bedside can provide accurate information on lung status in neurocritically ill patients with acute respiratory failure. The addition of transthoracic echocardiography to lung sonography provides an additive insight on the eventual pulmonary involvement. Lung ultrasound has the potential to become a reference tool for bedside dynamic respiratory monitoring in the Neuro ICU. Springer Science+Business Media New York, 2013 Lung ultrasound nationallicence Sonography nationallicence Neurogenic pulmonary edema nationallicence Acute respiratory failure nationallicence Merenkov Vladimir Department of Neuro ICU, Republican Hospital, Pirogov Str.3, 185000, Petrozavodsk, Karelia, Russia aut Kovalev Alexey Department of Critical Care, Republican Hospital, Petrozavodsk, Karelia, Russia aut Gorbunov Vyacheslav Department of Critical Care, Republican Hospital, Petrozavodsk, Karelia, Russia aut Neurocritical Care Humana Press Inc 18/3(2013-06-01), 391-394 1541-6933 18:3<391 2013 18 12028 https://doi.org/10.1007/s12028-013-9828-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12028-013-9828-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Merenkov Vladimir Department of Neuro ICU, Republican Hospital, Pirogov Str.3, 185000, Petrozavodsk, Karelia, Russia aut NATIONALLICENCE 700 1- Kovalev Alexey Department of Critical Care, Republican Hospital, Petrozavodsk, Karelia, Russia aut NATIONALLICENCE 700 1- Gorbunov Vyacheslav Department of Critical Care, Republican Hospital, Petrozavodsk, Karelia, Russia aut NATIONALLICENCE 773 0- Neurocritical Care Humana Press Inc 18/3(2013-06-01), 391-394 1541-6933 18:3<391 2013 18 12028 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer