View Full Chapter Figures Only Tables Only Videos Only Print Share Email Send Email Your Name (required) Example: John Doe Email Address (required) Please enter a valid sender email address. Example: firstname.lastname@example.org CC Me Recipient Email Address (required) Separate multiple email address with semi-colons (up to 5). Subject Subject for your email. Message (Maximum characters: 1,000) Send Cancel Copyright Paragraph Text Copyright Line Text Get Citation Citation AMA Citation Doherty GM. Doherty G.M. Doherty, Gerard M.Pulmonary Edema, Neurogenic. In: Doherty GM. Doherty G.M. Ed. Gerard M. Doherty.eds. Quick Answers Surgery. New York, NY: McGraw-Hill; 2010. http://accesssurgery.mhmedical.com/content.aspx?bookid=853&Sectionid=49662252. Accessed January 16, 2017. MLA Citation Doherty GM. Doherty G.M. Doherty, Gerard M.. "Pulmonary Edema, Neurogenic." Quick Answers Surgery. Doherty GM. Doherty G.M. Ed. Gerard M. Doherty. New York, NY: McGraw-Hill, 2010, http://accesssurgery.mhmedical.com/content.aspx?bookid=853&Sectionid=49662252. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © Copyright Tools Search Book Top Return Clip Search Book Pulmonary Edema, Neurogenic + Essential Features + • Head injury• Increased intracranial pressure• Caused by pooling of blood in denervated autonomic venules and small veins• Usually due to spinal cord injury• Not caused by isolated head injury ++ Epidemiology + • Post-traumatic + Clinical Findings ++ Symptoms and Signs + • Hypotension after trauma• Warm extremities—sometimes with hyperemia• No other evident causes of shock, such as hypovolemic or cardiogenic + Diagnostic Considerations + • Hypovolemic shock• Cardiogenic shock• Septic shock + Work-up + • Therapeutic test: Trendelenburg followed by 2 L IV fluid bolus• If shock persists, consider phenylephrine infusion and other causes• Radiographic evaluation of spinal column + Treatment and Management + • Supportive care of blood pressure to maintain perfusion• Stabilize and protect spine from further injury + Resources ++ References ++Kress JP et al: Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000;342:1471. [PubMed: 10816184] ++MacIntyre NR et al: Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 2001;120(6 Suppl):375S.