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Management of pulmonary edema

There are several different clinical guidelines for the management of acute pulmonary oedema. 7-15 However, these are based predominantly on low-quality evidence and expert opinion. The goals of treatment are to provide symptomatic relief, improve oxygenation, maintain cardiac output and perfusion of vital organs, and reduce excess extracellular fluid Lifestyle changes are an important part of heart health and can help you manage some forms of pulmonary edema. Keep blood pressure under control. If you have high blood pressure, take your medications as prescribed and check your blood pressure regularly Treatment of Noncardiogenic Pulmonary Edema Neurogenic Pulmonary Edema Treatment Supplemental oxygen Mechanical ventilation may be necessary, either noninvasive with a face mask or via an endotracheal tube. Pharmacological agents are not used routinely in the treatment of neurogenic pulmonary edema. But sometimes include alpha-adrenergic antagonists (eg, phentolamine) and Beta-adrenergic agonists (eg, dobutamine, dopamine, norepinephrine)

The management of postoperative pulmonary edema usually is aimed at treatment of the underlying cause. Majority of patients give good results with conservative and symptomatic treatment but few do require intubation and initiation of mechanical ventilation with application of positive end expiratory pressure As a result, patients who are hypotensive with pulmonary oedema need immediate critical care input, as they'll likely require continuous monitoring and potentially vasopressors to maintain adequate blood pressure whilst treating their pulmonary oedema. Capillary refill tim The initial management of patients with cardiogenic pulmonary edema (CPE) should address the ABCs of resuscitation, that is, airway, breathing, and circulation. Oxygen should be administered to all.. • Hydrostatic pulmonary edema is the common clinical presentation of LV-AHF. An imbalance in the starling forces in the capillaries is the main pathophysiological mechanism, but NO-dependent alveolar fluid reabsorption, Cl-and Na+ transport alveolar fluid secretion and alveolar-capillary stress failure with inflammator

Managing acute pulmonary oedem

Reduction of preload In most forms of pulmonary edema, the quantity of extravascular lung water is determined by both the PCWP and the intravascular volume status. Physical Methods : In nonhypotensive patients, venous return can be reduced by use of the sitting position with the legs dangling along the side of the bed. Diuretics : furosemide(0.5-1 mg/kg) , bumetanide, and torsemide are effective in most forms of pulmonary edema, even in the presence of hypoalbuminemia, hyponatremia, or. The initial management of pulmonary edema, irrespective of the type or cause, is supporting vital functions. Therefore, if the level of consciousness is decreased it may be required to proceed to tracheal intubation and mechanical ventilation to prevent airway compromise Pulmonary edema may occur in individuals with normal circulatory systems as a result of rapid increases in intravascular pressure. The in- crease in pressure must be acute and of sufficient magnitude to exceed the circulatory compensatory mechan- isms since chronic pulmonary hyper- tension leads to interstitial fibrosis rather than pulmonary edema Measurement of the edema fluid/plasma protein ratio and the presence of net alveolar fluid clearance in 10 patients with postobstructive pulmonary edema supports a hydrostatic mechanism for edema. Pulmonary edema is a serious condition that requires quick treatment. Oxygen is always the first line of treatment for this condition. Your healthcare team may prop you up and deliver 100 percent.

Pulmonary edema is an abnormal accumulation of extravascular fluid as the lung parenchyma that interferes with adequate gas exchange. This is a life threatening situation that needs immediate treatment. The most common cause of cardiogenic pulmonary edema is left ventricular failure exhibited by increased left atrial ventricular pressures ACPE is defined as pulmonary edema with increased secondary hydrostatic capillary pressure due to elevated pulmonary venous pressure. Increased hydrostatic pressure may result from various causes including excessive administration of intravascular volume, obstruction of pulmonary venous outflow or secondary left ventricular failure due to left ventricular systolic or diastolic dysfunction Pulmonary edema can be a very life-threatening condition, and specialized consultation is a requirement for diagnosis and management. Considering a very high short term mortality rate, an Interprofessional team approach is recommended in the management of these patients to improve outcomes

Echocardiography to evaluate pulmonary arterial pressures is recommended for patients with obstructive sleep apnea and edema.27, 28 In one study of patients with obstructive sleep apnea, 93% of. Furosemide (Lasix), morphine, and nitroglycerin have historically been the baseline standard for drug therapy in CPE management. A lack of drastic improvement in the patient's condition over the course of the ED visit may reflect a management style that results in higher morbidity and mortality for CPE patients The core algorithm, although successful in the management of the initial physiological upset, was found to be inadequate for the ongoing management of pulmonary oedema. A specific sub-algorithm for the management of perioperative pulmonary oedema was devised, tested against the reports and would have been effective, if properly applied, in the management of all but one of the reported cases Management of Swimming-Induced Pulmonary Edema. Am Fam Physician. 2004 Mar 1;69 (5):1046-1049. to the editor: A healthy 20-year-old United States Navy search and rescue swimmer trainee, who was. Salicylate-induced pulmonary edema (SIPE) can occur in both acute and chronic users of aspirin or salicylate products. The medical history, especially when it reveals the use of salicylates, is critical when considering this diagnosis. Unfortunately, the neurologic and systemic effects of salicylate

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Pulmonary edema is an acutely decompensated state due to either cardiac or noncardiac etiologies. Temporizing measures such as supplemental oxygenation, diuretics, nitrates, and morphine help manage dyspnea, hypoxemia. However, definitive management of the underlying causes is necessary to prevent its recurrences

Cardiogenic pulmonary edema (CPE) is a clinical health problem that induces impaired gas exchange, dyspnea and hypoxia. This serious condition results in acute respiratory failure and high mortality rate. This article suggests an effective approach to CPE patient clinical symptom assessment and management Noninvasive ventilation (NIV) is a safe and effective technique that can prevent side effects and complications related to endotracheal intubation. Acute cardiogenic pulmonary edema is currently the second most common indication for NIV, mainly in emergency departments Management of Acute Pulmonary Oedema / Heart Failure Introduction. Acute pulmonary oedema may be the first presentation of heart failure or an exacerbation of existing known heart failure. It also may be secondary to another cause e.g. atrial fibrillation (AF), other tachycardias or bradycardia, critical cardiac ischaemia, valvular disease or. Pulmonary edema. 1. Pulmonary Edema PREPARED BY : ANISH THAVASIMUTHU (B Sc Nursing ) TAMIL NADU Dr.M.G.R University. 2. Anatomy of lung. 3. DEFINITION Pulmonary edema is an abnormal buildup of fluid in the lungs. This build up of fluid leads to shortness of breath. 4

Pulmonary edema - Diagnosis and treatment - Mayo Clini

Management of Pulmonary Edema 2014 - SlideShar

  1. Medical Management . Management focuses on correcting the underlying disorder. If the pulmonary edema is cardiac in origin, then improvement in left ventricular function is the goal. Vasodilators, inotropic med-ications, afterload or preload agents, or contractility medications may be given
  2. Pulmonary Edema Causes. There are two main kinds of pulmonary edema: cardiogenic and noncardiogenic. Cardiogenic pulmonary edema. This type is caused by a problem with your heart. In many cases.
  3. Pulmonary edema, or fluid in the lungs or water in the lungs, is a condition in which fluid fills the alveoli in the lungs. This fluid then leaks into the blood, causing causing inflammation, which causes symptoms of shortness of breath and problems breathing, and poorly oxygenated blood. Health problems that cause pulmonary edema include heart failure, kidney failure, high altitude, and.
  4. Neurogenic pulmonary edema (NPE) is a relatively rare form of pulmonary edema caused by an increase in pulmonary interstitial and alveolar fluid. Neurogenic pulmonary edema develops within a few hours after a neurologic insult, and diagnosis requires exclusion of other causes of pulmonary edema (eg, high-altitude pulmonary edema)
  5. Noncardiogenic pulmonary edema is a disease process that results in acute hypoxia secondary to a rapid deterioration in respiratory status. The disease process has multiple etiologies, all of which require prompt recognition and intervention. This activity describes the evaluation and management of noncardiogenic pulmonary edema and highlights.
  6. Modern management of CARDIOGENIC PULMONARY EDEMA workshop! GOAL Review Simple Management Pearls that help SAVE LIVES! Discuss Management of Hypertensive Cardiogenic Pulmonary Edema OBJECTIVE. 220/135, 105, 40, 82% Hx of HTN, DM, CAD Woke up dyspneic Diaphoretic, Distress Rales to Apex BL JVD, Looks DRY! 70 YOM with ACUTE DYSPNEA

Pulmonary edema is a buildup of fluid in the alveoli (air sacs) of your lungs. This may make it hard for you to breathe. Pulmonary edema may be life-threatening if your body is not able to get the oxygen it needs Pulmonary edema is often caused by congestive heart failure. When the heart is not able to pump efficiently, blood can back up into the veins that take blood through the lungs. As the pressure in these blood vessels increases, fluid is pushed into the air spaces (alveoli) in the lungs Pulmonary edema, also known as pulmonary congestion, is a lung condition that involves the accumulation of fluids in the lungs. Difficulty of breathing is one of the classic signs of pulmonary edema. Acute pulmonary edema is considered a medical emergency and can be fatal but can also respond to treatment quickly if it is diagnosed early Background. Definition: Accumulation of blood in the pulmonary vasculature as a result of the inability of the left ventricle to pump blood forward adequately.Acute pulmonary edema, congestive heart failure and cardiogenic shock are a spectrum of diseases and should be considered and managed differently. Epidemiology: 5 Million patients diagnosed with CHF in the U

The right ventricular and pulmonary artery pressure, as well as pulmonary capillary wedge pressure (PCWP) range around upper limit of normal . Pathologically, in cirrhotic patients heart weight is increased, dilatation of cardiac chambers, myocardial hypertrophy, and structural changes such as myocardial cell edema, nuclear vacuolation. By the end of the session, learners will be able to: 1. Discuss the pathophysiology of, and immediate stabilization management steps for, acute cardiogenic pulmonary edema. 2. List the indications, contraindications, and risks associated with intubating a patient with acute cardiogenic pulmonary edema. 3. Demonstrate effective communication and teamwork skills to manage the airway of a. of patients with acute pulmonary edema may have multiple causes of edema.24,25 On Figure 2, we can see the diagnostic approach for acute pulmonary edema. MANAGEMENT The main objectives of management are to alleviate symptoms and stabilize hemodynamic condition as well as to improve outcome. Most patients will need long-term management when the.

Diagnosis, Prevention and Management of Postoperative

  1. ACUTE PULMONARY EDEMA Definition: an increase in pulmonary extravascular water, which occurs when transudation or exudation exceeds the capacity of lymphatic drainage. Pulmonary Edema vs Pneumonia - Clinical signs: shock, hypotension, congestive heart failure, acute pulmonary edema Left heart failure. Progression
  2. e the.
  3. Flash pulmonary edema is a term that is used to describe a particularly dramatic form of cardiogenic alveolar pulmonary edema. In flash pulmonary edema, the underlying pathophysiologic principles, etiologic triggers, and initial management strategies are similar to those of less severe ADHF, although there is a greater degree of urgency to.
  4. istration to mechanical ventilatory support with PEEP, depending on the severity of the disturbance in lung function
  5. Pulmonary Edema. Pulmonary edema is a condition caused by excess fluid within the lung parenchyma and alveoli as a consequence of a disease process. Based on etiology, pulmonary edema is classified as cardiogenic or noncardiogenic. Patients may present with progressive dyspnea, orthopnea, cough, or respiratory failure
  6. al compartment syndrome, and tracheal laceration or rupture. Recognition and management of these postoperative pulmonary complications are.

What is pulmonary edema? •Pulmonary edema is fluid accumulation in the lungs, which collects in alveoli. •Impaired gas exchange and may cause respiratory failure. •Approximately 3% of women with pre- eclampsia, with 70% of cases occurring after birth Ware LB, Matthay MA (December 2005). Clinical practice. Acute pulmonary edema. N. Engl. Cardiogenic pulmonary edema (CPE) is a life-threatening condition that is frequently encountered in standard emergency medicine practice. Traditionally, diagnosis was based on physical assessment and chest radiography and treatment focused on the use of morphine sulfate and diuretics. Numerous advances in diagnosis and treatment have been made, however

Pulmonary Oedema Acute Management ABCDE Geeky Medic

For this podcast, we're discussing the acute pulmonary edema presentation. This patient is hypertensive (SBP >140mmHg), severely dyspneic, with diffuse rales and clearly anxious. The no-shitter, drowning-before-your-very-eyes type of pulmonary edema. This is the SCAPE patient. SCAPE = Sympathetic Crashing Acute Pulmonary Edema Decreased initial management of pulmonary oedema, provides an plasma oncotic pressure (due to hypoproteinaemia), fluid outline of a specific crisis management sub-algorithm for overload, alterations in the permeability of the alveolar- this problem, and provides an indication of the potential capillary membrane (such as typically seen in acute. It is important to note that cardiogenic pulmonary edema initial management is decisive. In addition, early and adapted management of cardiogenic pulmonary edema is associated with a shorter hospital stay and reduced hospital mortality. The Coronary Emergency Network (RESURCOR) within the Northern French Alps Emergency Network (RENAU) is an.

Congestive Heart Failure and Pulmonary Edema Concept Map

Aim The objective of this study was to evaluate the clinical presentation, inpatient management, and in-hospital outcome of patients hospitalized for acute heart failure syndromes (AHFS) and classified as pulmonary edema (PE) The emergency management of patients with cardiogenic shock, acute pulmonary edema, or both is outlined. *Furosemide: <0.5 mg/kg for new-onset acute pulmonary edema without hypervolemia; 1 mg/kg for acute on chronic volume overload, renal insufficiency. † For management of bradycardia and tachycardia, see Chaps. 15 and 16 Recognize the risk for development of flash pulmonary edema in patients with chronic kidney disease and ESRD. Objectives 1. Identify causes of flash pulmonary edema that may occur in conjunction with chronic kidney disease and ESRD 2. Recognize signs and symptoms of flash pulmonary edema. 3 Pulmonary edema is a potentially life-threatening complication of preeclampsia, but only few studies have looked at possible risk factors. This study assessed the association between various. nursing management of pulmonary edema 16148 post-template-default,single,single-post,postid-16148,single-format-standard,ajax_fade,page_not_loadedqode-theme-ver-10.1.1,wpb-js-composer js-comp-ver-5..1,vc_responsiv

Cardiogenic Pulmonary Edema Treatment & Management

  1. Management of child after traumatic epidural hematoma with pulmonary edema and arrhythmia; Management of child after traumatic epidural hematoma with pulmonary edema and arrhythmia. Authors . Lee Angela C. Oluigbo, Chima Affiliation
  2. Corpus ID: 4171240. Prevention of Reexpansion Pulmonary Edema and Ischemia-Reperfusion Injury in the Management of Diaphragmatic Herniation @article{Worth2006PreventionOR, title={Prevention of Reexpansion Pulmonary Edema and Ischemia-Reperfusion Injury in the Management of Diaphragmatic Herniation}, author={A. Worth and R. Machon}, journal={Compendium on Continuing Education for The Practicing.
  3. Pulmonary edema is a condition of too much pulmonary system pressure, so the client needs to limit fluid intake. Pulmonary edema is a disease resulting from chronic asthma, so the client must restrict fluids that cause bronchoconstriction. Pulmonary edema is a condition of lung inflammation, so the client needs to replace PO fluids with IV.
  4. Pulmonary edema may occur for the same reasons as cerebral edema in patients with diabetic ketoacidosis. Be cautious of possible overcorrection of fluid loss, though it occurs only rarely
  5. Aim: The aim of this paper is to reflect upon the management interventions of non‐invasive ventilation (NIV) and diuretic therapy that were implemented for a patient admitted to an intensive care unit (ICU) with acute cardiogenic pulmonary oedema. Background: Acute pulmonary oedema is a serious and life‐threatening complication of acute heart failure, particularly if this results from an.
  6. We report the successful anesthetic management of a parturient with pulmonary hypertension complicated by SLE pneumonitis and vasculitis, pulmonary edema, and severe orthopnea. Case Report Our patient, a 28-yr-old, gravida VII, para I, ab V, with an intrauterine pregnancy at 31 weeks' estimated gestational age, was admitted to the hospital by.
  7. Congestive Heart Failure & Acute Pulmonary Edema (Quiz 3) PLAY. Match. Gravity. Heart failure. Click card to see definition . Tap card to see definition . may involve failure of left ventricle, right ventricle, or both. Click again to see term

Pulmonary Oedema - Pathophysiology - Approach & Managemen

The upper lobe of the right lung was collected following exposure to PQ and the wet weight was obtained. The lung tissues were then placed in an oven at 80°C for 48 h and weighed again to obtain the dry weight. Finally, the lung wet/dry (W/D) weight ratio was assessed to assess the severity of pulmonary edema Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. Symptoms include shortness of breath (dyspnea), rapid breathing (tachypnea), and bluish skin coloration (cyanosis). For those who survive, a decreased quality of life is common.. Causes may include sepsis, pancreatitis, trauma, pneumonia, and aspiration

Pulmonary Embolism Treatment Algorithm Final page 1

Pulmonary edema - Wikipedi

Management of pulmonary edema - ScienceDirec

Pulmonary edema can be very debilitating for the victim as it is associated with shortness of breath, coughing, wheezing, fatigue, anxiety, dizziness, and swelling in legs and other body parts. It is seen that when a victim of pulmonary edema is given supplemental oxygen, his condition improves, and symptoms begin to subside Acute Pulmonary Edema Lorraine B. Ware, M.D., and Michael A. Matthay, M.D. Fro m th e D ivisio n o f A llerg y, P u lm o n ary an d C ritical C are M ed icin e, D ep artm en t o f M ed icin e, V an d erb ilt U n iversity S ch o o l o f M ed icin e, N ash ville (L .B .W .); an d th e D ep artm en ts o f M ed icin e an d A n esth esi susceptible patients, a cascade of relentless pulmonary edema.1 The precise etiology of PPPE is unclear. The prognosis, however, is poor and is associated with reported mortality rates of 50% to 100%.1,2,4-6 The authors have been concerned that despite the traditional management technique of opening th Pulmonary Edema Pulmonary edema is an important cause of acute respiratory failure in critically ill patients. In patients with acute myocardial infarction or with exacerbations of chronic left heart failure, pulmonary edema is often a major complication, leading to arterial hypoxemia and the need for treatment in an ICU setting

•Manage stress; If you travel or climb at high altitudes, acclimate slowly. Some climbers take prescription medications for prevention. Your doctor can offer additional recommendations or treatment options for a pulmonary edema, whether short-term or chronic. Sources: Pulmonary edema. The Mayo Clinic Editor-In-Chief: C. Michael Gibson, M.S., M.D. Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD Overview. The diagnosis of pulmonary edema usually confirmed on X-ray, which shows increased fluid in the alveolar walls. Kerley B lines, increased vascular filling, pleural effusions, upper lobe diversion (increased blood flow to the higher parts of the lung) may be indicative of cardiogenic. Neurogenic pulmonary edema (NPE) is a potentially devastating but treatable systemic event associated with many forms of central nervous system (CNS) injury. 1 NPE after subarachnoid hemorrhage (SAH) occurs in 8% of patients in which the clinical grade and the extent of subarachnoid clotting may contribute to poor outcomes. 2 The development of NPE occurs most frequently immediately after SAH. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC Pulmonary edema is often classified as cardiogenic or non-cardiogenic [due to a heart (cardiac) problem or due to a non-heart related issue respectively]. Cardiogenic Pulmonary Edema. Cardiogenic pulmonary edema is the most common type and is sometimes referred to as heart failure or congestive heart failure

Emergency management of pulmonary edema includes oxygen administration and draining of the fluid in the lungs. Afterward, the prognosis depends on the underlying causes of pulmonary edema. Prevention Methods. In most cases, pulmonary edema cannot be prevented because most of the underlying causes are chronic illnesses The management of postoperative pulmonary edema usually is aimed at treatment of the underlying cause. Majority of patients give good results with conservative and symptomatic treatment but few do require intubation and initiation of mechanical ventilation with application of positive end expiratory pressure. The cardiogenic pulmonary edema. Manage or prevent pulmonary edema: Limit your liquids as directed: Follow your healthcare provider or pulmonologist's directions about how much liquid you should drink each day. Too much liquid can increase your risk for fluid buildup. Weigh yourself daily: Weigh yourself at the same time every morning after you urinate, but before you eat. Pulmonary edema occurs when fluid collects in air sacs of the lungs, making it difficult to breathe. It can develop suddenly or gradually, and it is often caused by congestive heart failure. Learn.

(PDF) Diagnosis, Prevention and Management of

Lung ultrasound-guided management to reduce hospitalization in chronic heart failure: a systematic review and meta-analysis. Source: PubMed (Add filter) Published by Heart failure reviews, 09 April 2021. Pulmonary edema is a leading cause of hospital admissions, morbidity, and mortality in heart failure (HF) patients Negative-pressure pulmonary edema (NPPE) or postobstructive pulmonary edema is a well- described cause of acute respiratory failure that occurs after intense inspiratory effort against an obstructed airway, usually from upper airway infection, tumor, or laryngospasm The purpose of this study was to review the patient characteristics and management of 56 cases of high altitude pulmonary edema at the Pheriche Himalayan Rescue Association Medical Aid Post, and to measure the use of medications in addition to descent and oxygen

Pulmonary Edema: Symptoms, Causes, and Treatmen

Chioncel O, Ambrosy AP, Bubenek S, et al. Epidemiology, pathophysiology, and in-hospital management of pulmonary edema: data from the Romanian Acute Heart Failure Syndromes registry. J Cardiovasc. Pulmonary means 'to do with the lungs' and oedema means an excessive collection of watery fluid in the body. Oedema is the same thing as edema - it is spelt differently in different countries. So, pulmonary oedema is an excess of watery fluid in the lungs. The fluid collects in the tissues and many air sacs of the lung, making it difficult to. To provide an overview of the pathogenesis of pulmonary edema and describe recent discoveries related to the clearance of airspace fluid and potential new therapies for this life-threatening disorder. Recent findings . It is clinically important to determine the mechanisms responsible for the clearance of fluid from the airspaces

Cardiogenic Pulmonary Edema Nursing Management - RNpedi

Management of three cardiogenic pulmonary edemas occurring in a patient scheduled for left ventricular assist device implantation: indicators for determining left ventricular assist device pump speed Hiroaki Toyama , Yusuke Takei , Kazutomo Saito, Takahisa Ota, Kenji Kurotaki, Yutaka Ejima , Takeshi Matsuura, Masatoshi Akiyama, Yoshikatsu Saiki. Pulmonary edema causes shortness of breath and sometimes low oxygen levels in the blood. Some people with pulmonary edema may have a cough. Edema: Diagnosis and Management.. Pulmonary arterial hypertension (PAH) is a progressive, symptomatic, and ultimately fatal disorder for which substantial advances in treatment have been made during the past decade [].Despite advances in the management of PAH, the mortality rate remains excessive PAH-specific therapies can worsen PVH by precipitating pulmonary edema. It has been suggested that LA size can be viewed for PH as HgbA1c for DM. It is a marker of duration, chronicity, and severity of left-sided pressure elevation. Assess for valvular abnormality and congenital heart disease, which can precede or coincide with the diagnosis of PH HR control: Digoxin is sometimes used to help control inappropriate tachycardia typically in the face of uncontrolled atrial fib. This might help if someone has acute pulmonary edema from the fast hr but if the patient is unstable then electrical cardioversion is usually preferred perhaps in combination with meds to control the rate

Hypoxic Respiratory Failure (HRF) Associated WithAirway and breathingNursing Mnemonics and Tips: Left-Sided Heart Failure: “DOCyanotic Cardiac Lesions

Figure 4. CT of the chest demonstrating evidence of PH with a main pulmonary/ascending aorta diameter ratio ³ 1 and a pulmonary trunk of >2.8 cm. LV dysfunction is suggested on CT by the presence of a mosaic pulmonary perfusion pattern and pulmonary ground-glass opacities, demonstrating chronic pulmonary edema Non-Invasive Positive Pressure Ventilation Management of High Altitude Pulmonary Edema The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government Bertini, G, Giglioli, C, Biggeri, A, et al. Intravenous nitrates in the prehospital management of acute pulmonary edema. Ann Emerg Med. 1997 ; 30 ( 4 ): 493 - 499 . CrossRef Google Scholar PubMe