A Possible Case of Neurogenic Pulmonary Edema in a Sheep following Intracranial Surgery

A 3-year-old female crossbred sheep weighing 64 kg was anaesthetized for intracranial surgery as a part of a research project. Premedication and induction of anesthesia were uneventful as well as tracheal intubation. Anesthesia was maintained with isoflurane in a 50% mixture of oxygen and air, fentanyl (5-15 µg kg-1h-1) and lidocaine (1.8 mg kg-1h-1). During anesthesia, an increased alveolar-arterial oxygen gradient was calculated on the basis of arterial blood gas analysis: inspiratory fraction of oxygen was increased and a recruitment manoeuvre was performed. After 210 minutes of anesthesia, the sheep was let recover with oxygen supplementation under monitoring of pulse-oxymetry, capnography, inspired and expired oxygen, temperature and invasive blood pressure. At tracheal extubation no signs of regurgitation or aspiration were noticed. Twenty-five minutes later, the sheep showed deterioration of neurological status and clonic seizure responsive to diazepam. After transient tachycardia, blood pressure rose acutely and sinus bradycardia followed. Severe tachypnea started in few minutes accompanied by loud respiratory noises and harsh diffuse crackles on both sides of the thorax. Foamy blood nasal exudates discharged from the nostrils. Neurogenic pulmonary edema as a sequel of increased intracranial pressure was suspected and treated with intravenous mannitol (0.5 gkg-1) and furosemide (4 mgKg-1). Hypoxemia was successfully managed with oxygen supplementation. Motor and cognitive functions improved progressively and were deemed normal within 12 hours from the episode, when arterial partial pressure of oxygen was 11.7 kPa (88 mmHg) at room air

Pollutant advective spreading in beach sand exposed to high-energy tides

yesThis paper presents field measurements in which dye solute was injected into coastal sand to investigate contaminant advection in intertidal beach sand. The measurements show the pathways of a contaminated plume in the unsaturated zone during both the flood and ebb tides. A prescribed amount of dye tracer solution was directly injected through the topsoil, with average porosity 0.3521±0.01, at predetermined locations of the River Mersey’s outer estuarial beach during ebb-tide. The injected dye was monitored, sampled and photographed over several tidal cycles. The distinctive features of the plume (full two dimensional cross-sections), sediments and water-table depth were sampled in-situ, close to the injection point (differing from previous contaminant monitoring tests in aquifers). The advective movement is attributed to tidal impact which is different from contaminant transport in aquifers. The experimental results show that plumes have significantly large spatial variability, diverging upwards and converging downwards, with a conical geometric shape which is different from the usual spherical/elliptical shape reported in literature. The mean vertical motion of the plume reaches three times the top-width within ten tidal cycles, exceeding the narrow bottom-width by a factor of order 2. The observed transport features of the plume within the beach sand have significant relevance to saltwater intrusion, surface water and groundwater quality. The field observations are unique and can serve as a valuable benchmark database for relevant numerical studies.China Ministry of Science and Technology 973 program (2014CB745001), Special Program of future development in Shenzhen (201411201645511650) and Shenzhen Key Laboratory for Coastal Ocean Dynamic and Environment（ZDSY20130402163735964)