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British Journal of Anaesthesia, 2003, Vol. 90, No. 2 238-240
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Use of prone ventilation in neurogenic pulmonary oedema

S. J. Fletcher* and J. D. Atkinson

Intensive Care Unit, Department of Anaesthesia, Bradford Royal Infirmary, Bradford BD9 6RJ, UK

Corresponding author. E-mail: sjfletcher@doctors.org.uk

We present a case of neurogenic pulmonary oedema (NPO) due to subarachnoid haemorrhage that resulted in hypoxia refractory to conventional mechanical ventilation. Prone positioning was employed, resulting in rapid and sustained improvement in oxygenation. We discuss the pathogenesis of NPO and the mechanism of action of prone ventilation. Prone ventilation may be of value in the management of NPO, both in treating life-threatening hypoxia and in optimizing neurological recovery. Further data are required on its effect on intracranial pressure after subarachnoid haemorrhage.

Br J Anaesth 2003; 90: 238–40


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