{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T20:49:08Z","timestamp":1765313348186,"version":"3.46.0"},"reference-count":15,"publisher":"BMJ","issue":"6367","license":[{"start":{"date-parts":[[1983,3,5]],"date-time":"1983-03-05T00:00:00Z","timestamp":415670400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1983,3,5]]},"abstract":"<jats:p>The \"shock lung\" syndrome may occur in diabetic ketoacidosis in association with disseminated intravascular coagulation; occasionally it occurs alone after treatment of the ketoacidosis. Two patients developed pulmonary opacities with clinical features of acute respiratory distress such as are seen in the shock lung syndrome; in both, however, the findings suggested a different mechanism from that occurring in the syndrome. Hypoalbuminaemia was prominent, and it is postulated that a low plasma osmotic pressure caused by high volume crystalloid infusions may have precipitated the acute respiratory complications. Plasma osmotic pressure may be an important variable in patients given large volumes of crystalloid infusions; further studies are required to elucidate mechanisms of pulmonary oedema in such patients.<\/jats:p>","DOI":"10.1136\/bmj.286.6367.760","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"760-762","source":"Crossref","is-referenced-by-count":23,"title":["Acute respiratory distress in diabetic ketoacidosis: possible contribution of low colloid osmotic pressure."],"prefix":"10.1136","volume":"286","author":[{"given":"R C","family":"Leonard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Asplin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C V","family":"McCormick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T D","family":"Hockaday","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1983,3,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1378\/chest.63.3.434","article-title":"\"Shock lung\" syndrome following diabetic ketoacidosis; treatment with heparin","volume":"63","author":"Fleet, A.B.","year":"1973","unstructured":"Fleet AB. \"Shock lung\" syndrome following diabetic ketoacidosis; treatment with heparin. Chest 1973;63:434-6.","journal-title":"Chest"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"108","DOI":"10.2337\/diab.21.2.108","article-title":"Disseminated intravascular coagulation in diabetes mellitus with reference to the role of increased platelet aggregation","volume":"21","author":"Kwaan, H.C.; Colwell, J.A.; Suwanwela, N.","year":"1972","unstructured":"Kwaan HC, Colwell JA, Suwanwela N. Disseminated intravascular coagulation in diabetes mellitus with reference to the role of increased platelet aggregation. Diabetes 1972;21:108-13.","journal-title":"Diabetes"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/S0140-6736(74)91261-6","article-title":"Cerebral intravascular coagulation in diabetic ketoacidosis","volume":"i:","author":"Timperley, W.R.; Preston, F.E.; Ward, J.D.","year":"1974","unstructured":"Timperley WR, Preston FE, Ward JD. Cerebral intravascular coagulation in diabetic ketoacidosis. Lancet 1974;i:952-6.","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1378\/chest.68.2.253","article-title":"Altered capillary permeability complicating recovery from diabetic ketoacidosis","volume":"68","author":"Powner, D.; Snyder, J.V.; Grenvik, A.","year":"1975","unstructured":"Powner D, Snyder JV, Grenvik A. Altered capillary permeability complicating recovery from diabetic ketoacidosis. Chest 1975;68:253-5.","journal-title":"Chest"},{"key":"ref_5","first-page":"687","article-title":"Pulmonary oedema: a complication of ketoacidosis","volume":"77","author":"Sprung, C.L.; Rackow, E.C.; Fein, I.A.","year":"1980","unstructured":"Sprung CL, Rackow EC, Fein IA. Pulmonary oedema: a complication of ketoacidosis. Chest 1980;77:687-8.","journal-title":"Chest"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"570","DOI":"10.7326\/0003-4819-96-5-570","article-title":"Relation of colloid osmotic pressure to arterial hypoxemia and cerebral oedema during crystalloid volume loading of patients with diabetic ketoacidosis","volume":"96","author":"Fein, I.A.; Rackow, E.C.; Sprung, C.L.; Grodman, R.","year":"1982","unstructured":"Fein IA, Rackow EC, Sprung CL, Grodman R. Relation of colloid osmotic pressure to arterial hypoxemia and cerebral oedema during crystalloid volume loading of patients with diabetic ketoacidosis. Ann Intern Med 1982;96:570-5.","journal-title":"Ann Intern Med"},{"key":"ref_7","article-title":"Plasma protein and pulmonary oedema","author":"Anonymous","year":"1980","unstructured":"Anonymous. Plasma protein and pulmonary oedema. (Editorial.) Lancet 1980;ii:1012.","journal-title":"(Editorial.) Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1161\/01.CIR.52.3.483","article-title":"Pulmonary oedema during volume infusion","volume":"52","author":"Stein, L.; Beraud, J.; Morissette, M.; Da Luz, P.; Weil, M.H.; Shubin, H.","year":"1975","unstructured":"Stein L, Beraud J, Morissette M, Da Luz P, Weil MH, Shubin H. Pulmonary oedema during volume infusion. Circulation 1975;52:483-8.","journal-title":"Circulation"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"551","DOI":"10.2337\/diab.26.6.551","article-title":"Intravenous insulin causing loss of intravascular water and albumin and increased adrenergic nervous activity in diabetics","volume":"26","author":"Gundersen, H.J.; Christensen, N.J.","year":"1977","unstructured":"Gundersen HJ, Christensen NJ. Intravenous insulin causing loss of intravascular water and albumin and increased adrenergic nervous activity in diabetics. Diabetes 1977;26:551-7.","journal-title":"Diabetes"},{"key":"ref_10","first-page":"308","article-title":"Crystalloid infusions in diabetic ketoacidosis","volume":"ii:","author":"Anonymous","year":"1982","unstructured":"Anonymous. Crystalloid infusions in diabetic ketoacidosis. (Editorial.) Lancet 1982;ii:308-9.","journal-title":"(Editorial.) Lancet"},{"key":"ref_11","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(82)90616-X","article-title":"Crystalloid infusions in diabetes","author":"Hillman, K.M.","year":"1982","unstructured":"Hillman KM. Crystalloid infusions in diabetes. Lancet 1982;ii:548.","journal-title":"Lancet"},{"key":"ref_12","article-title":"Crystalloid infusions in diabetes","author":"Axelrod, L.","year":"1982","unstructured":"Axelrod L. Crystalloid infusions in diabetes. Lancet 1982;ii:549.","journal-title":"Lancet"},{"key":"ref_13","article-title":"Crystalloid infusions in diabetes","author":"Matz, R.; Carroll, P.","year":"1982","unstructured":"Matz R, Carroll P. Crystalloid infusions in diabetes. Lancet 1982;ii:549.","journal-title":"Lancet"},{"author":"Accepted 12_January 1983)","key":"ref_14","unstructured":"(Accepted 12_January 1983)"},{"key":"ref_15","first-page":"177","article-title":"Do mycoplasmas cause rheumatic disease?","volume-title":"Infection and immunology in the rheumatic diseases","author":"Taylor-Robinson, D.; Taylor, G.","year":"1976","unstructured":"Taylor-Robinson D, Taylor G. Do mycoplasmas cause rheumatic disease? In: Dumonde DC, ed. Infection and immunology in the rheumatic diseases. London: Blackwell, 1976:177-86."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.286.6367.760","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.286.6367.760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T20:37:44Z","timestamp":1765312664000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.286.6367.760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,3,5]]},"references-count":15,"journal-issue":{"issue":"6367","published-online":{"date-parts":[[1983,3,5]]},"published-print":{"date-parts":[[1983,3,5]]}},"alternative-id":["10.1136\/bmj.286.6367.760"],"URL":"https:\/\/doi.org\/10.1136\/bmj.286.6367.760","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"type":"print","value":"0007-1447"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1983,3,5]]}}}