Negative pressure pulmonary edema after percutaneous endoscopic interlaminar lumbar discectomy-a case report
| Autor: | Jiancheng Zeng, Fuxing Pei, Kang Chen, Xiandi Wang, Zhuhai Li, Hongfei Nie, Yueming Song, Guo Chen, Zhiqiang Yang |
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| Rok vydání: | 2018 |
| Předmět: |
Tachycardia
Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Percutaneous Complications Pulmonary Edema Case Report Tachypnea 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Rheumatology medicine Humans Orthopedics and Sports Medicine Diskectomy Percutaneous 030212 general & internal medicine Laryngospasm Negative pressure pulmonary edema Dexamethasone Lumbar Vertebrae Percutaneous endoscopic lumbar discectomy business.industry Endoscopy Airway obstruction medicine.disease Surgery Orthopedic surgery lcsh:RC925-935 medicine.symptom Complication business 030217 neurology & neurosurgery Intervertebral Disc Displacement medicine.drug |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 19, Iss 1, Pp 1-5 (2018) |
| ISSN: | 1471-2474 |
| Popis: | Background Negative pressure pulmonary edema (NPPE) is a rare complication that is more prevalent in young patients. NPPE usually results from acute upper airway obstruction, which is most commonly caused by laryngospasm during extubation. NPPE is characterized by the sudden onset of coughing, hemoptysis, tachycardia, tachypnea, and hypoxia, and is dramatically improved with supportive care, which prevents severe sequelae. To our knowledge, there is no report of a patient developing NPPE after percutaneous endoscopic interlaminar lumbar discectomy. Case presentation Herein, we report the case of a 22-year-old amateur basketball player with L5/S1 disc herniation who developed NPPE during extubation after general anesthesia for a minimally invasive spinal surgery (percutaneous endoscopic interlaminar lumbar discectomy). The NPPE was treated by maintaining the airway patency, applying positive-pressure ventilation, administering dexamethasone and antibiotics, and limiting the volume of fluid infused. The patient had an uneventful postoperative course, and was discharged to his home on postoperative day 3. Conclusions Although NPPE is an infrequent complication, especially in patients undergoing percutaneous endoscopic interlaminar lumbar discectomy, this case report highlights the importance of early diagnosis and prompt treatment of NPPE to prevent the development of potentially fatal complications. |
| Databáze: | OpenAIRE |
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