Edema pulmonar por presión negativa tras septoplastia

Hombre, Alina María García de; Cuffini, Alejandro; Bonadeo, Alejandro

doi:10.1016/j.otorri.2012.01.009

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…When the literature was reviewed, it was also discussed that there may be a type of drug-induced NPPE, but we considered laryngospasm more prominently (4,5). The complaints of the patient started in the postoperative period (after half an hour), and it was evaluated as the third case with late NPPE in rhinological surgery in the literature (6,7). NPPE must be investigated in the presence of sudden dyspnea and pink frothy sputum in a post-operative patient.…”

Section: Discussionmentioning

confidence: 99%

“…The sudden onset of agitation, tachypnea and bilateral common crackles by auscultation guide the examination. For the diagnosis of NPPE, X-ray graphs and arterial blood gas examinations are usually required (6).146 adult NPPE cases compiled in a review;seventy-four cases (50.6%) involved upper aerodigestive tract or deep neck surgery, and 12 (8.2%) involved only the nose (septoplasty and/or rhinoplasty) surgery (1). The patients were intubated for an average of 11.75 hours and three mortalities (2%) occurred (1).…”

Section: Discussionmentioning

confidence: 99%

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A rare case: negative-pressure pulmonary edema after routine rhinoplasty

Şencan¹,

Peker²

2023

JOCS

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Negative-pressure pulmonary edema (NPPE) is a very rare and dangeorus condition that generally occurs after general anesthesia in otorhinolaryngology practices. Post-obstructive pulmonary edema or NPPE caused by an acute pulmonary edema secondary to upper respiratory tract obstruction. Its sudden appearance in the early postoperative period can stress the surgeon and the anesthesiologist. Difficult breathing effort due to upper airway obstruction creates strong changes in intra-thoracic pressure, and high negative intrathoracic pressure increases the permeability of the alveolar capillary membrane, causing significant fluid changes in the pulmonary tissues. Treatment should be evaluated together with anesthesiologist or pulmonologist and the first goal should be to reduce the hypoxia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare case: negative-pressure pulmonary edema after routine rhinoplasty

Şencan¹,

Peker²

2023

JOCS

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Incidence and Preoperative Risk Factors for Major Complications in Aesthetic Rhinoplasty: Analysis of 4978 Patients

Layliev

Gupta

Kaoutzanis

et al. 2017

Aesthetic Surgery Journal

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Negative-Pressure Pulmonary Edema After Septoplasty

Erden

Çiftçi

2020

Journal of Craniofacial Surgery

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Negative-pressure pulmonary edema is a rare but life-threatening complication of septoplasty seen in the early-postoperative period. The main cause is laryngospasm; often with hypoxia and hemoptysis. In our case, a 36-year-old septoplasty recipient developed symptoms of hypotension, tachycardia and low oxygen saturation 3 hours after extubation. The patient was diagnosed with negative-pressure pulmonary edema. Treatment was applied with noninvasive positive pressure ventilation and diuretics. It should be noted that negative pressure pulmonary edema may vary in terms of presentation and may not be accompanied by laryngospasm.

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Edema pulmonar por presión negativa tras septoplastia

Cited by 4 publications

References 15 publications

A rare case: negative-pressure pulmonary edema after routine rhinoplasty

A rare case: negative-pressure pulmonary edema after routine rhinoplasty

Incidence and Preoperative Risk Factors for Major Complications in Aesthetic Rhinoplasty: Analysis of 4978 Patients

Negative-Pressure Pulmonary Edema After Septoplasty

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