Keywords :
Electric shock, Lung ultrasound score, Pulmonary edema
Citation Information :
Chawla G, Dutt N, R, Chauhan NK. A Rare Case of Neurogenic Pulmonary Edema Following High-voltage Electrical Injury. Indian J Crit Care Med 2019; 23 (10):486-488.
Electrical injuries though infrequent, are potentially devastating form of injuries which are associated with high morbidity and mortality. The severity of the injury depends upon intensity of the electrical current which is determined by the voltage and the resistance offered by the victim. These injuries vary from trivial burns to death. There have been few reports about pulmonary injuries due to electrical current but none mentioning neurogenic pulmonary edema (NPE). Here we report a young boy who when exposed to high-voltage current developed neurogenic pulmonary edema and was successfully managed. Though there is no specific protocol for electrical injury but identifying the organs involved along with type of disease facilitates the management.
Cooper MA. Emergent care of lightning and electrical injuries. Semin Neurol. 1995;15(3):268–278.
Via G, Storti E, Gulati G, Neri L, Mojoli F, Braschi A. Lung ultrasound in the ICU: from diagnostic instrument to respiratory monitoring tool. Minerva Anestesiol. 2012;78(11):1282–1296.
Hunt J, Mason A, Masterson T, Pruitt B. The pathophysiology of acute electric injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 1976;16(5):335–340.
Jain S, Bandi V. Electrical and lightning injuries. Crit Care Clin. 1999;15(2):319–331.
Varghese G, Mani MM, Redford JB. Spinal cord injuries following electrical accidents. Paraplegia. 1986;24(3):159–166.
Kleinschmidt-DeMasters BK. Neuropathology of lightning-strike injuries. Semin Neurol. 1995;15(4):323–328.
Karamanli H, Akgedik R. Lung damage due to low-voltage electrical injury. Acta Clinica Belgica. 2017;72(5):349–351.
Masanès MJ, Gourbière E, Prudent J, Lioret N, Febvre M, Prévot S, et al. A high voltage electrical burn of lung parenchyma. Burns. 2000;26(7):659–663.
Schleich AR, Schweiger H, Becsey A, Cruse CW. Survival after severe intrathoracic electrical injury. Burns. 2010;36(5):e61-e64.
Sarı MY, Yıldızdaş RD, Yükselmiş U, Horoz ÖÖ. Our patients followed up with a diagnosis of neurogenic pulmonary edema. Turk Pediatri Ars. 2015;50(4):241–244.
Simon RP. Neurogenic pulmonary edema. Neurol Clin. 1993;11(2):309–323.
Fontes RBV, Aguiar PH, Zanetti MV, Andrade F, Mandel M, Teixeira MJ. Acute neurogenic pulmonary edema: case reports and literature review. J Neurosurg Anesthesiol. 2003;15(2):144–150.
Smith WS, Matthay MA. Evidence for a hydrostatic mechanism in human neurogenic pulmonary edema. Chest. 1997;111(5):1326–1333.