Respiratory Acidosis as a Consequence of Pulmonary Edema
Authors: N. R. ANTHONISEN
Journal: Annals of Internal Medicine (1965)

Article1 May 1965Respiratory Acidosis as a Consequence of Pulmonary EdemaN. R. ANTHONISEN, M.D., H. J. SMITH, M.D.N. R. ANTHONISEN, M.D., H. J. SMITH, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-5-991 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHyperventilation manifested by a low arterial carbon dioxide pressure (PaCO2) is a common feature of pulmonary venous congestion (1-3). This is also commonly the case in frank pulmonary edema, when significant lowering of arterial oxygen saturation (SaO2) may also be present (3, 4). However, severe pulmonary edema imposes considerable mechanical restriction on the lungs (5, 6), and it would not be surprising if hypoventilation became a problem in such instances. Indeed, several patients have been reported showing mild carbon dioxide retention (4, 7), and it has been said that PaCO2rises sharply in the terminal stages of pulmonary edema (2)....References1. COMROEFORSTERDUBOISBRISCOECARLSEN JHREABWAE: The Lung. Year Book Medical Publishers Inc., Chicago, 1962, p. 56. Google Scholar2. TURINOFISHMAN GMAP: The congested lung. J. Chronic Dis. 9: 510, 1959. CrossrefMedlineGoogle Scholar3. ROSSIERBUHLMANWIESINGER PHAAK: Respiration. Physiologic Principles and their Clinical Applications. The C. V. Mosby Co., St. Louis, 1960, pp. 352-355. Google Scholar4. MILLERSPROULE WFBT: Studies on the role of intermittent inspiratory positive pressure oxygen breathing in the treatment of pulmonary edema. Dis. Chest 35: 469, 1959. CrossrefMedlineGoogle Scholar5. SHARPEGRIFFITHBUNNELLGREENE JTGIILDG: Ventilatory mechanics in pulmonary edema in man. J. Clin. Invest. 37: 111, 1958. CrossrefMedlineGoogle Scholar6. 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LUISADAGOLDMANNWEYL AAMAM: Alcohol vapor by inhalation in the treatment of acute pulmonary edema. Circulation 5: 363, 1952. CrossrefMedlineGoogle Scholar18. CLEMENTS JA: Surface phenomena in relation to pulmonary function. Physiologist 5: 11, 1962. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Montreal, Quebec,From the Joint Cardio-respiratory Service, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada.This study was supported in part by The John A. Hartford Foundation Inc., U. S. A.Requests for reprints should be addressed to N. R. Anthonisen, M.D., Joint Cardio-respiratory Service, Royal Victoria Hospital, Montreal 2, Quebec, Canada. 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HENRY WILLIAMS JR., M.D.Methadone-Induced Pulmonary EdemaURI I. FRAND, M.D., CHANG S. SHIM, M.D., M. HENRY WILLIAMS JR., M.D.Shorter Chemotherapy in TuberculosisBlood-gas Tensions in Acute Pulmonary ŒdemaThe Metabolic and Respiratory Acidosis of Acute Pulmonary EdemaARNOLD ABERMAN, M.D., C.M., MILFORD FULOP, M.D., F.A.C.P.Ventilatory failureThe acidosis of pulmonary edemaRespiratory FailureSpezielle Pathophysiologie der AtmungAcute Respiratory Failure: Experiences of a Respiratory Care Unit 1 May 1965Volume 62, Issue 5Page: 991-999KeywordsAttentionCarbon dioxideComaEdemaIntubationLungsOxygenVentilators Issue Published: 1 May 1965 PDF DownloadLoading ...