Open AccessSympathetic crashing acute pulmonary edema
Author(s) -
Naman Agrawal,
Akshay Kumar,
Praveen Aggarwal,
Nayer Jamshed
Publication year - 2016
Publication title -
indian journal of critical care medicine/indian journal of critical care medicine
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 30
eISSN - 1998-359X
pISSN - 0972-5229
DOI - 10.4103/0972-5229.195710
Subject(s) - medicine , acute pulmonary edema , pulmonary edema , emergency department , edema , mechanical ventilation , anesthesia , intensive care medicine , lung , psychiatry
Sympathetic crashing acute pulmonary edema (SCAPE) is the extreme end of the spectrum of acute pulmonary edema. It is important to understand this disease as it is relatively common in the emergency department (ED) and has better outcomes when managed appropriately. The patients have an abrupt redistribution of fluid in the lungs, and when treated promptly and effectively, these patients will rapidly recover. Noninvasive ventilation and intravenous nitrates are the mainstay of treatment which should be started within minutes of the patient's arrival to the ED. Use of morphine and intravenous loop diuretics, although popular, has poor scientific evidence.