Noncompliant Lungs

I have recently cared for two white men in their 60′s to 70′s in I.C.U. who  
have had very sudden onset of symptomology. Their courses were similar in that  
they were approximately the same age, race, and both had very noncompliant  
pulmonary systems. Their ventilatory pressures were in the 45cm range.  
TV=1000cc, FiO2=100%, IMV=24, and PEEP=6cm. Their SaO2 was about 72% on these  
settings. Regardless of the amount of suctioning, repositioning, or sloshing of  
these patients, I could not get their ABG’s much better than a pCO2=64 and a  
pO2=58. {Another interesting thing about these men was that they could not be  
sedated for very long at a time. They both required frequent high doses of  
vercuronin, morphine and diazepam with an increase in frequency as they  
approached the end of the course of their disease process. Incidentally, they  
both had the same physicians, and their open lung biopsies showed only "acute  
diffuse pneumonitis with thrombi."

     If anyone has had similar cases, please forward a message on this echo  
conference. Negative hx of cotton mills or gins, coal mines, fungal infections,  
or gases. The first gentleman was a lawyer who liked to garden and the other  
was a farmer. If they could have been exposed to the same pesticides I could  
draw a parallel, but the lists given to the M.D.’s had nothing in common. The  
autopsy reports were negative.

–  
Uucp: …{gatech,ames,rutgers}!ncar!asuvax!stjhmc!375!12!Ernest.Parker
Internet: Ernest.Par…@f12.n375.z1.fidonet.org

2 Responses to “Noncompliant Lungs”

  1. admin says:

    Someone asked about the hazards of playing with mercury.  While the metal
    ion is as toxic as any heavy metal ion, I don’t believe the liquid metal
    is nasty unless inhaled chronically for a long time.

    When elemental mercury is released into the environ, bacteria convert
    it to organometallic compounds and then it enters the food chain.  You
    could drink liquid mercury and excrete it unchanged later, safely.
    Your body does not interact with the unionized meta.  That’s why you
    can have an almagam in the entrance to your gastrointestinal tract for years…

    However, if an expert can correct me, I’d appreciate it.  But the
    slop being passed for fact in prior replies to the original query should be
    considered typical of usenet noise…programmers’ uninformed spew…


    David A. Honig          

    "An unarmed citizenry are subjects."

  2. admin says:

    In article <25CD07B8.5…@paris.ics.uci.edu> ho…@ics.uci.edu (David A. Honig) writes:
    #Someone asked about the hazards of playing with mercury.  While the metal
    #ion is as toxic as any heavy metal ion, I don’t believe the liquid metal
    #is nasty unless inhaled chronically for a long time.

    Correct.  The main danger of playing with mercury is that you spill it
    and somebody is going to live in the room for the next 50 years and goes
    crazy.  But the amount in a thermometer is small.  The old barometers are
    something else.

    #When elemental mercury is released into the environ, bacteria convert
    #it to organometallic compounds and then it enters the food chain.  You
    #could drink liquid mercury and excrete it unchanged later, safely.
    #Your body does not interact with the unionized meta.  That’s why you
    #can have an almagam in the entrance to your gastrointestinal tract for years…

    Drinking mercury, like a cup of it? That is asking for too much.
    Mercury is HEAVY and will slosh and rupture your intestines.

    The amalgam in the teeth stays mainly there, and the small bits
    you swallow are harmless.  Not only are they small, but I remember
    something like the amalgamation deactivates the mercury surface, too.

    Otherwise you are right.  The stomach acid can not attack mercury.

    Torkil Hammer