Negative-pressure pulmonary edema following maxillofacial surgery: recognize to prevent further complications.

Autor: Trabelsi B; Department of Anesthesiology and Intensive Care, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Mrezga, Nabeul, 8000, Tunisia. becem.trabelsi@fmt.utm.tn., Yedes A; Department of Anesthesiology and Intensive Care, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Mrezga, Nabeul, 8000, Tunisia., Kharrat G; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Nabeul, Tunisia., Abdouli H; Department of Anesthesiology and Intensive Care, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Mrezga, Nabeul, 8000, Tunisia., Mahouachi I; Department of Anesthesiology and Intensive Care, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Mrezga, Nabeul, 8000, Tunisia., Saied MR; Department of Anesthesiology and Intensive Care, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Mrezga, Nabeul, 8000, Tunisia., Ben Ali M; Department of Anesthesiology and Intensive Care, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Mrezga, Nabeul, 8000, Tunisia.
Jazyk: angličtina
Zdroj: Oral and maxillofacial surgery [Oral Maxillofac Surg] 2024 Mar; Vol. 28 (1), pp. 447-449. Date of Electronic Publication: 2022 Oct 14.
DOI: 10.1007/s10006-022-01122-6
Abstrakt: Negative-pressure pulmonary edema (NPPE) is a rare respiratory complication due to acute upper airway obstruction occurring shortly after extubation. We report a case of NPPE in young adult patient who underwent an eventful general anesthesia. The patient presented laryngospasm followed by acute respiratory distress with pink frothy sputum. The NPPE was initially misdiagnosed, and a preventable tracheostomy was performed. NPPE was managed with mechanical ventilation and diuretics, and the patient had full recovery. Every anesthesiologist should be aware of the diagnosis of NPPE. Early recognition and management are essential to prevent the morbidity associated with NPPE in young healthy patients.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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