Can Sepsis Cause the Pulmonary Edema?

Can sepsis cause the pulmonary edema?

Sepsis is the most common cause of adult respiratory distress syndrome and is associated with the highest mortality. The pathophysiology of septic pulmonary edema, which is the culmination over time of many complex responses related to sepsis.

It could not be shown that the pulmonary edema, which is a major characteristic of the septic lung lesion, was due to changes only in oncotic and hydrostatic pressures. Nor was there evidence that increased capillary permeability was the sole explanation of the edema.

A significant relationship was found which consisted of increasing severity of the lung lesion, decreasing serum oncotic pressure and increasing pulmonary pressure.

When patients with sepsis require resuscitation with fluids, the administration of moderate amounts of albumin along with monitoring of pulmonary capillary pressure appears to be a rational approach to therapy.

Keyword: sepsis pulmonary edema.

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