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African Journal of Anaesthesia and Intensive Care

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Neurogenic pulmonary oedema in a tropical neuroreanimation centre – a case report

A.F. Ouendo, M.D. Bah, P.A. Leye, M.M. Traore, D Barbosa, I Gaye, E.B. Ba, O Kane

Abstract


We report two cases of neurogenic pulmonary oedema after subarachnoid haemorrhage and refractory status epilepticus. In both cases, the pathophysiological treatment was neurological, respiratory and cardiovascular. Neurological treatment was aimed at reducing cerebral aggression, decreasing intracranial hypertension and optimizing cerebral perfusion pressure. Cardiovascular treatment was aimed at reducing pre- and post-load and increasing myocardial contractility. The respiratory treatment consisted of putting on ventilatory support.




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