Acute Postoperative Negative Pressure Pulmonary Edema as Complication of Acute Airway Obstruction: Case Report

Zhurda, T.; Muzha, D.

doi:10.4172/2155-6148.1000603

Cited by 2 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Young male athletes are at risk because of ability to generate significant inspiratory force. Other conditions include aggressive tracheobronchial suction, laryngeal mask malposition, and biting of the endotracheal tube [10]. As far as possible in this case, aspiration of secretions, fluid overload, occulsion of endotracheal tube, and anaphylaxis were excluded.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Negative Pressure Pulmonary Hemorrhage after Laryngospasm during the Postoperative Period

Han

Jung

et al. 2018

Acute Crit Care

View full text Add to dashboard Cite

Negative pressure pulmonary hemorrhage (NPPH) is an uncommon complication of upper airway obstruction. Severe negative intrathoracic pressure after upper airway obstruction can increase pulmonary capillary mural pressure, which results in mechanical stress on the pulmonary capillaries, causing NPPH. We report a case of acute NPPH caused by laryngospasm in a 25-year-old man during the postoperative period. Causative factors of NPPH include negative pulmonary pressure, allergic rhinitis, smoking, inhaled anesthetics, and positive airway pressure due to coughing. The patient’s symptoms resolved rapidly, within 24 hours, with supportive care.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The symptoms of NPPE usually develops immediately after extubation but may occur after several hours. Signs and symptoms of NPPE include restlessness, agitation, cyanosis, and pink frothy pulmonary secretions [9,10]. Among them, the foam, pinkish pulmonary sputum is the characteristic sign of NPPE [9].…”

Section: Discussionmentioning

confidence: 99%

Negative Pressure Pulmonary Hemorrhage after Laryngospasm during the Postoperative Period

Han

Jung

et al. 2018

Acute Crit Care

View full text Add to dashboard Cite

show abstract

Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation.

Hoşten

Serez

2021

Sağlık Akademisi Kastamonu

View full text Add to dashboard Cite

Background: Acute negative pressure pulmonary edema is a complication that usually occurs shortly after extubation in patients receiving general anesthesia. It may also occur due to the bite of the endotracheal tube prior extubation. Case presentation: A 52-year-old male patient was scheduled for ventriculoperitoneal shunt operation. General anesthesia was applied. Respiratory and hemodynamic variables were stable during surgery. At the end of the surgery, anesthetic drugs were discontinued, the lumen of the endotracheal tube and oropharynx were aspirated. When oropharyngeal airway was placed the patient bit and occluded his endotracheal tube, and began exerting breathing effort. Rapid desaturation was observed and pink foamy secretion came through the endotracheal tube. Bilateral diffuse crackles were present. A chest X-ray revealed bilateral pulmonary edema. The patient was transferred to the intensive care unit, sedation was applied and volume controlled positive pressure mechanical ventilation was started. The patient was extubated at the 12 th postoperative hour and sent to the ward on the third postoperative day. Discussion: The extubation plan should be done well. Aspiration and extubation should be performed either under deep anesthesia or when the patient is fully awake. Oropharyngeal airway should be placed under adequate depth of anesthesia before extubation. Although oropharyngeal airway reduces the risk of biting of the endotracheal tube and subsequent development of negative pressure pulmonary edema, it may not prevent it completely. In negative pressure pulmonary edema treatment, invasive or non-invasive mechanical ventilation may be preferred depending on the severity of obstruction and degree of hypoxia. Early diagnosis and treatment of negative pressure pulmonary edema is lifesaving.

show abstract

Acute Postoperative Negative Pressure Pulmonary Edema as Complication of Acute Airway Obstruction: Case Report

Cited by 2 publications

References 17 publications

Negative Pressure Pulmonary Hemorrhage after Laryngospasm during the Postoperative Period

Negative Pressure Pulmonary Hemorrhage after Laryngospasm during the Postoperative Period

Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation.

Contact Info

Product

Resources

About