Why the study?
Neurogenic pulmonary edema is a leading cause of death in intensive care and is often disguised as primary respiratory disease, requiring accurate diagnostic examination and comprehensive perioperative management.
Accurate diagnosis and comprehensive management of perioperative neurogenic pulmonary edema are essential to avoid therapeutic errors and patient deterioration in the ICU or PACU.
Alerts clinicians to diagnostic pitfalls in post-neurosurgical edema; extends literature but leaves open prospective validation.
Neurogenic pulmonary edema (NPE) is one of the leading causes of death in the intensive care unit. These events are often disguised as diseases or disorders that originate purely from the respiratory system. Diagnostic examination of NPE needs to be done, both radiologically and in the laboratory. Several things are useful in determining the estimated incidence of NPE, including the causes of neurological events, supporting examinations, length of stay, and preconditions for comorbidities owned by the patient or his family. Patients who are about to undergo a surgical procedure and have previous respiratory problems, a recent history of neurological disorders, or even both have a special note about the risk of perioperative NPE events. Management of NPE can be appropriate if it is managed comprehensively and always considers possible differential diagnoses of causes because if it is wrong to make a diagnosis, then of course it will result in an error in therapy. Effective and efficient management of NPE, based on diagnosis that is strengthened by the support of laboratory and supporting examinations, to rule out ambiguous causes of NPE, both purely neurological and non-neurological cases. Postoperative patients who are indicated to have NPE, during treatment in the intensive care unit or post anesthesia care unit (PACU), need to receive temporary special attention so that the patient does not experience aggravation.
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Prihatno et al. (2023) studied this question.
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