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Chest, Vol 73, 179-182, Copyright © 1978 by American College of Chest Physicians

ARTICLES

Pulmonary consolidation associated with infusion of a glucose-insulin- potassium solution in acute myocardial infarction

LE Dye, MS Shin, DM Witten, RO Russell, CE Rackley and DE Hogg

From 1972 to 1975, we have observed seven patients with localized pulmonary consolidation distal to the tip of a Swan-Ganz catheter. These seven instances occurred in a population of over 300 patients receiving a hypertonic solution of glucose, insulin, and potassium for acute myocardial infarction. In four patients the glucose-insulin- potassium solution was instilled directly into the right pulmonary artery from the tip of the Swan-Ganz catheter. In the subsequent three patients the solution was administered via the right atrial port and thus perfused the entire pulmonary vascular bed. The roentgenographic appearance of this localized pulmonary consolidation is indistinguishable from infarction caused by pulmonary thromboembolus or wedging of the catheter.




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Copyright © 1978 by the American College of Chest Physicians.