Das postobstruktive Lungenödem als Komplikation einer Endotrachealtubusokklusion
Autor: | K. H. Kopp |
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Rok vydání: | 2000 |
Předmět: |
medicine.medical_specialty
Lung business.industry medicine.medical_treatment Respiratory disease General Medicine Airway obstruction Critical Care and Intensive Care Medicine medicine.disease Pulmonary edema Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Edema Emergency Medicine Medicine Intubation Laryngospasm medicine.symptom business Airway |
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 |
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