Delayed Onset of Laryngospasm-induced Pulmonary Edema in an Adult Outpatient

Glasser, Steven A.; Siler, Janet N.

doi:10.1097/00000542-198503000-00034

Cited by 42 publications

(16 citation statements)

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“…The condition presents with dyspnoea, agitation, cough, pink, frothy sputum and low oxygen saturations. Diffuse, bilateral alveolar opacities consistent with pulmonary oedema are seen on the chest radiograph [192]. Differential diagnosis includes the other causes of acute pulmonary oedema and aspiration of gastric contents.…”

Section: Appendix 2: Post-obstructive Pulmonary Oedemamentioning

confidence: 99%

“…Prompt diagnosis and management usually result in clinical and radiological resolution within a few hours (unless there are secondary complications), although delayed presentation of up to two and a half hours has been described [192,193]. Death is rare and usually attributable to hypoxic brain injury at the time of the airway obstruction.…”

Section: Appendix 2: Post-obstructive Pulmonary Oedemamentioning

confidence: 99%

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Difficult Airway Society Guidelines for the management of tracheal extubation

Mitchell¹,

Dravid²,

Patel³

et al. 2012

Anaesthesia

428

139

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SummaryTracheal extubation is a high‐risk phase of anaesthesia. The majority of problems that occur during extubation and emergence are of a minor nature, but a small and significant number may result in injury or death. The need for a strategy incorporating extubation is mentioned in several international airway management guidelines, but the subject is not discussed in detail, and the emphasis has been on extubation of the patient with a difficult airway. The Difficult Airway Society has developed guidelines for the safe management of tracheal extubation in adult peri‐operative practice. The guidelines discuss the problems arising during extubation and recovery and promote a strategic, stepwise approach to extubation. They emphasise the importance of planning and preparation, and include practical techniques for use in clinical practice and recommendations for post‐extubation care.

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Section: Appendix 2: Post-obstructive Pulmonary Oedemamentioning

confidence: 99%

Section: Appendix 2: Post-obstructive Pulmonary Oedemamentioning

confidence: 99%

Difficult Airway Society Guidelines for the management of tracheal extubation

Mitchell¹,

Dravid²,

Patel³

et al. 2012

Anaesthesia

428

139

View full text Add to dashboard Cite

show abstract

“…However, several reports exist of patients receiving MAC who required laryngeal mask airway (LMA) or endotracheal intubation for airway protection and then subsequently developed NPPE. 7,8 Therefore, all patients undergoing surgical manipulation of the upper airway are potentially at risk for this complication.…”

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confidence: 99%

Negative-Pressure Pulmonary Edema After Routine Septorhinoplasty

Westreich

Sampson

Shaari

et al. 2006

Archives of Facial Plastic Surgery

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“…Because of this delayed onset, patients who experience postanesthetic laryngospasm should be observed for longer than the usual 60 to 90 minutes. 12 The patient with underlying risk factors for delayed recovery of anesthesia should be recognized to have an increased risk of developing pulmonary edema. In addition, preparation for reintubation after extubation is always necessary.…”

Section: Discussionmentioning

confidence: 99%

Negative Pressure Pulmonary Edema After Oral and Maxillofacial Surgery

Mamiya

Ichinohe

Kaneko

2009

Anesthesia Progress

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Negative pressure pulmonary edema ( NPPE ) following upper airway obstruction (UAO) has been reported in several clinical situations. The main cause of NPPE is reported to be increased negative intrathoracic pressure. We present a case of NPPE that occurred after general anesthesia for plate removal after jaw deformity surgery. After completion of the surgery, administration of inhaled anesthetics was stopped and the patient opened his eyes on verbal command. Immediately after extubation, the patient stopped breathing and became cyanotic. Acute UAO following laryngospasm was suspected. Soon after reintubation, pink, frothy fluid came out of the endotracheal tube, and a tentative diagnosis of NPPE was made. Continuous positive airway pressure was applied. In addition, furosemide and dexamethasone were administered. By the next day, the symptoms had almost disappeared.

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Delayed Onset of Laryngospasm-induced Pulmonary Edema in an Adult Outpatient

Cited by 42 publications

References 0 publications

Difficult Airway Society Guidelines for the management of tracheal extubation

Difficult Airway Society Guidelines for the management of tracheal extubation

Negative-Pressure Pulmonary Edema After Routine Septorhinoplasty

Negative Pressure Pulmonary Edema After Oral and Maxillofacial Surgery

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