A Complex Presentation of Acute Postoperative Negative-Pressure Pulmonary Edema: A Case Report and Review of Literature.
| Autor: | Rudman L; Internal Medicine, Larkin Community Hospital, South Miami, USA., Chambi-Torres JB; Internal Medicine, Larkin Community Hospital, South Miami, USA., Chohan F; Research and Academic Affairs, Larkin Community Hospital, South Miami, USA., Aftab M; Pulmonary and Critical Care, Larkin Community Hospital, South Miami, USA., Cao X; Pulmonary and Critical Care Medicine, Larkin Community Hospital Palm Springs Campus, Hialeah, USA., Michel G; Internal Medicine, Larkin Community Hospital, South Miami, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jul 19; Vol. 15 (7), pp. e42152. Date of Electronic Publication: 2023 Jul 19 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.42152 |
| Abstrakt: | Negative-pressure pulmonary edema (NPPE) is an uncommon diagnosis that requires a high clinical suspicion to recognize and manage and has high morbidity and mortality. It usually results secondary to markedly negative intrapleural pressure due to the forceful inspiration against the obstructed airway from upper airway infection, tumor, or laryngospasm. We present a case of a 27-year-old female with morbid obesity who underwent sleeve gastrectomy and developed NPPE upon emergence from anesthesia. The focus of supportive care should be on addressing the obstruction in the upper airway through either endotracheal intubation or cricothyroidotomy. Additionally, it is important to initiate lung-protective positive-pressure ventilation and promote diuresis, unless the patient is in a state of shock. The resolution of pulmonary edema is typically swift, partially due to the preservation of alveolar fluid clearance mechanisms. In the literature review, we delve into the clinical presentation, pathophysiology, and management of NPPE or post-obstructive pulmonary edema. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Rudman et al.) |
| Databáze: | MEDLINE |
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