Acute Pulmonary Oedema…

Key points:

1. There’s minimal or no role for the administration of loop diuretics (Lasix) early in the management of APE. The majority of patients aren’t volume overloaded.

2. Immediate care should focus on NIPPV and administration of nitroglycerin.

NOT CARDIAC: Causes of non-cardiogenic pulmonary edema

N – near drowning
O – oxygen therapy / post intubation pulmonary edema
T – trauma / transfusion (TRALI – transfusion-related acute lung injury)

C – CNS – neurogenic pulmonary edema
A – allergic alveolitis
R – renal failure
D – drugs
I – inhalation (toxins)
A – altitude (HAPE – high-altitude pulmonary edema),
C – contusion