Fluid management in patients following blast injury is a major challenge. Fluid overload can exacerbate pulmonary dysfunction, whereas suboptimal resuscitation may exacerbate tissue damage. In three patients, we compared three methods of assessing volume status: central venous (CVP) and pulmonary artery occlusion (PAOP) pressures, left ventricular end-diastolic area (LVEDA) as measured by trans...

Hypovolemia is known to be a predisposing factor of decompression illness (DCI) while diving. The typical clinically impressive neurological symptoms of DCI may distract from other symptoms such as an incipient hypovolemic shock. We report the case of a 61-year-old male Caucasian, who presented with an increasing central and peripheral neural failure syndrome and massive hypovolemia after two r...

A ruptured thoracic aorta is a rare but lifethreatening condition requiring immediate intervention. Possible causes of a ruptured thoracic aorta are ruptured descending thoracic aneurysms, acute type B aortic dissections, penetrating aortic ulcers, and traumatic thoracic aortic injuries (TTAI). Thoracic endovascular aortic repair (TEVAR) offers an effective treatment for these acute thoracic ao...

Arterial hypotension and hypovolemia are known to stimulate neurohypophysial secretion of oxytocin (OT) in rats, although the physiological function of OT under these circumstances is uncertain. We now report that OT infused intravenously into conscious rats at 125 ng x kg(-1) x h(-1), a dose selected to mimic plasma OT levels during hypotension or hypovolemia, increased plasma renin concentrat...

Introduction. Circulatory failure secondary to hypovolemia is a common situation in critical care patients. Volume replacement is the first option for the treatment of hypovolemia. A possible complication of volume loading is pulmonary edema, quantified at the bedside by the measurement of extravascular lung water index (ELWI). ELWI predicts progression to acute lung injury (ALI) in patients wi...

The purpose of this study was to assess the possible role of hypovolemia as a factor in the production of impaired pulmonary function in pulmonary fat embolizaiton. Iv vivo static lung compliance was measured by inflating the lungs with known volumes of air and recording the transpulmonary pressure, monitoring intraesophageal pressure as an index of intrapleural pressure. Arterial blood was dra...

Cardiac vagal afferents terminating in the nucleus of the solitary tract (NTS) are believed to participate in stimulating neurohypophysial secretion of vasopressin as well as increased ingestion of water and NaCl solution in response to decreased blood volume. However, we recently reported that chronic lesions of NTS, which eliminate neural input from cardiac and arterial baroreceptors, do not ...

Background: Cerebral Salt Wasting Syndrome (CSWS) refers to the process of intracranial lesions, sodium salt loss by hypothalamus-renal pathway and caused clinical manifestations syndrome of high urinary sodium, hyponatremia, hypovolemia. The clinical manifestations and laboratory are similar to syndrome of inappropriate antidiuretic hormone secretion (SIADH). It is easy to be misdiagnosed. Cas...

i~~yavas~ula~ Juid vohme following acute hypovolemia in rats. Am. 3. Physiol. 218(l): 191496. 1970.-Subcutaneous injection of hyperoncotic polyethylene glycol (PC) solution produced hypovolemia in rats by gradually withdrawing isosmotic plasma fluid into the local interstitium, Significant drinking was observed for 6-8 hr, although water ingestion subsequently diminished despite persistent hypo...