Das postobstruktive Lungenödem als Komplikation einer Endotrachealtubusokklusion

Autor: K. H. Kopp
Rok vydání: 2000
Předmět:
Zdroj: ains · Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie. 35:721-724
ISSN: 1439-1074
0939-2661
DOI: 10.1055/s-2000-8160
Popis: Pulmonary edema following acute or chronic upper airway obstruction is a threatening complication. A case is presented in which a 15 year old boy developed a massive pulmonary edema after a acute endotracheal tube obstruction during emergence from anesthesia. Leading pathophysiologic cause for the formation of the edema is a markedly negative intrapleural pressure due to the forceful inspiration against the obstructed airway. Treatment modalities include the instantaneous solution of the obstruction, a rapid reoxigenation and the ventilation with PEEP or CPAP. Sound knowledge of the disease increases the vigilance of the caring anaesthesiologist and helps to identify patients at risk. Preventing measures may further reduce the risk of occurrence of the postobstructive pulmonary edema.
Databáze: OpenAIRE