[ClickPress, Mon Sep 02 2019] Non-invasive ventilators are being increasingly found to be effective in the treatment of conditions such as acute respiratory failure, cardiogenic pulmonary edema
, and chronic obstructive pulmonary disease for immunocompromised people.
Respiratory insufficiency in isolation should prompt suspicion for postsurgical pulmonary thromboembolism, pneumonia, drug reaction, cardiogenic pulmonary edema
, and FES.
Copetti, "Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema
from acute respiratory distress syndrome," Cardiovasc Ultrasound, vol.
This diagnosis requires a high level of suspicion from the clinician, as the presentation mimics aspiration pneumonia during anesthesia (Mendelson's syndrome) and other causes of pulmonary edema, including cardiogenic pulmonary edema
and iatrogenic volume overload .
A differential diagnosis usually includes aspiration pneumonia and cardiogenic pulmonary edema
. However, if heart failure can be excluded and if the pulmonary edema is rapid and bilateral without witnessed emesis, then NPE may be considered more likely.
Several studies have shown that NPPV decreases mortality and the need for intubation in patients with chronic obstructive pulmonary disease (COPD) exacerbation or cardiogenic pulmonary edema
Another peculiarity of cats is that cardiogenic pulmonary edema
can manifest itself in a variety of ways and at different locations on the thoracic radiograph (RUSH et al., 2002).
According to European society of cardiology patients with acute heart failure can be divided into six possible categories overlap between these profiles can occur (1) worsening of decompensate chronic heart failure (2) hypertensive acute heart failure syndrome (3) Cardiogenic pulmonary edema
(4) Cardiogenic shock (5) isolated right heart failure (6) acute heart failure with acute coronary syndrome4-6.
In this context, the source of respiratory distress was more consistent with cardiogenic pulmonary edema
than from a primary infectious respiratory source.
Given his excellent lung compliance and rapid resolution of pulmonary pathology, cardiogenic pulmonary edema
from decompensated left sided heart failure was favored over acute respiratory distress syndrome.
The mechanism for the lymphadenopathy is not clear, but may be due to cardiogenic pulmonary edema
causing distension of the pulmonary lymphatic vessels and pulmonary hypertension.