Pulmonary Edema Because of Incomplete Hanging Attempt

Abstract

Hanging is used worlwide for suicide. It is generally ends with sudden death. But if the person is reached in a short time after hanging attempt, the patient can be saved. But we may come across some medical problems like pulmonary edema, cervical vertebra instability, impaired cognitive functions. 28 year old female patient had been taken to our hospital after incomplete hanging attempt with suicide intention. While she was in our hospital she had pulmonary complication. She had mechanical ventilation need. We supported her with mechanical ventilation both invasively and noninvasively. After 4 days of mechanical ventilation support she was discharged to the psychi atry clinic without any sequel.

Acute pulmonary edema after hanging attempt.

“…Death can occur either by cerebral hypoxia (secondary to the occlusion of airways or cervical vessels) or by cardiac arrest (due to vagal inhibition secondary to carotid compression) [8].…”

“…The NPPE may present as acute respiratory failure with dyspnea or polypnea, paradoxical breathing and desaturation. Cracking rales can be found at auscultation and pink foamy secretions at aspirations [2,[7][8][9].…”

“…The management of this form of pulmonary edema is based on the optimization of oxygenation by maintaining adequate supplementation of oxygen and addition of PEEP or the use of noninvasive ventilation in non-intubated patients. PEEP level must be adapted to saturation and arterial blood gas parameters [8][9][10].…”