Negative pressure pulmonary edema after nasal fracture reduction in an obese female patient: a case report.

Autor: Choi E; Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea., Yi J; Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea., Jeon Y; Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
Jazyk: angličtina
Zdroj: International medical case reports journal [Int Med Case Rep J] 2015 Aug 19; Vol. 8, pp. 169-71. Date of Electronic Publication: 2015 Aug 19 (Print Publication: 2015).
DOI: 10.2147/IMCRJ.S86099
Abstrakt: Postoperative negative pressure pulmonary edema (NPPE) is a rare, but well-known life-threatening complication of acute upper airway obstruction (UAO) which develops after general anesthesia. The pronounced inspiratory efforts following UAO lead to excessive negative inspiratory pressure, which may cause acute pulmonary edema. Early recognition and prompt treatment of NPPE is necessary to prevent patient morbidity and mortality. In addition, the physician should carefully manage the patient who has risk factors of UAO to prevent this situation. We experienced a case of NPPE following laryngospasm after tracheal extubation in an obese patient who underwent open reduction of orbital wall and nasal bone surgery.
Databáze: MEDLINE