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All Journal Medula Essential: Essence of Scientific Medical Journal
M. Panji Bintang Gumantara
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Biochemistry, Genetics & Molecular Biology Education Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Manajemen Neurogenic Pulmonary Edema pada Laki-laki Usia 60 Tahun dengan Stroke Infark Luas di RSUD Jendral A. Yani Kota Metro M. Panji Bintang Gumantara; Halomoan Simon Tambunan
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.237

Abstract

Neurogenic Pulmonary Edema (NPE) is a pulmonary compromise condition due to severe damage of the central nervous system that causes symptoms similar to ARDS accompanied by pulmonary edema. NPE often occurs in traumatic brain injury (TBI), hemorrhage, recurrent seizures, and epilepsy. Stroke is a focal or general acute neurological deficit condition during more than 24 hours caused by cerebrovascular factors. In patient with extensive stroke infarction of the brain can cause suppression of the respiratory center in the brain so that stroke patients can get complications in the respiratory system that aggravate the patient's condition. This case report described a 60-year-old man with decreased consciousness and weakness of the left limbs since 6 hours before entering hospital with shortness of breath, reddish coughing phlegm, fever, rapid and shallow breathing. Management was given to the patient in pharmacological and non-pharmacological collaborative therapies. Intensive care was planned in the Intensive Care Unit (ICU) formechanical ventilator. The patient's prognosis in this case report wasad malam. The purpose of this case report is to find out the description of clinical problems, identify the risk factors as the cause and provide the best management for patients.
NEUROGENIC PULMONARY EDEMA: KOMPLIKASI YANG MENGANCAM JIWA AKIBAT KERUSAKAN BERAT SISTEM SARAF PUSAT M. Panji Bintang Gumantara
Essence of Scientific Medical Journal Vol 18 No 1 (2020): Volume 18 No. 1 (Januari - Juni 2020) Essential: Essence of Scientific Medical J
Publisher : Kelompok Ilmiah Hippocrates Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ESTL.2020.v18.i01.p02

Abstract

ABSTRAK Neurogenic Pulmonary Edema (NPE) adalah salah satu komplikasi akibat kerusakan berat sistem saraf pusat (SSP). Angka kejadiannya di dunia sekitar 2-8% dan masih jarang dilaporkan. Neurogenic pulmonary edema (NPE) biasa ditemukan pada kasus-kasus perdarahan intrakranial seperti SDH, SAH, dan ICH, pada kondisi epilepsi dan kejang berulang yang tidak terkontrol, serta pada beberapa kasus trauma medula spinalis. Patogenesis terjadinya Neurogenic Pulmonary Edema (NPE) belum dapat dipahami seutuhnya, tetapi terdapat 2 teori terjadinya Neurogenic Pulmonary Edema (NPE), yakni teori perubahan hemodinamik dan NPE trigger zone yang melibatkan pusat pengendalian otonom otak dan sistem kardiovaskular. Neurogenic Pulmonary Edema (NPE) memiliki onset akut dan kronik, yang ditandai dengan gejala menyerupai ARDS seperti dispnea, takipnea, takikardia, sputum bewarna kemerahan, ronki pada auskultasi, serta gambaran radiologi berupa gambaran diffuse alveolar infiltrat bilateral. Pengenalan tanda dan gejala Neurogenic Pulmonary Edema (NPE) sejak dini dapat memperbaiki keluaran pasien tersebut. Penanganan awal pada kondisi ini menggunakan 2 prinsip penatalaksanaan, yakni mengatasi kondisi underlying disease dan terapi suportif, seperti ventilator mekanik, ECMO. dan transpulmonary thermodilution, penggunaan diuretik, dan pengontrolan terapi cairan.
Co-Authors Halomoan Simon Tambunan