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Negative Pressure Pulmonary Edema following General Anesthesia- A Case Report


Affiliations
1 MD, Professor, Dept of Anesthesia, Kasturba Medical College, Mangalore, India
2 MD, Graduate, Dept of Anesthesia, Kasturba Medical College, Mangalore, India
3 MD, DNB, Asst Prof, Dept of Anesthesia, Kasturba Medical College, Mangalore, India
4 MD, DA professor and Head, Dept of Anesthesia, Kasturba Medical College, Mangalore, India
 

Negative pressure Pulmonary Edema (NPPE) is a well- recognized but rare complication secondary to upper airway obstruction such as laryngeal spasm during emergence from general anesthesia. We herein report a case of NPPE in a young healthy adult male following minor orthopedic surgery. With prompt diagnosis and treatment he recovered well without significant sequelae. Young healthy males may be at increased risk for laryngospasm-induced pulmonary edema because they have the ability to generate large negative intrathoracic pressures. It has however been described even in neonates. The condition must be promptly recognized to minimize morbidity and mortality.

Keywords

Negative pressure, pulmonary edema, airway obstruction, respiratory distress, laryngospasm
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  • Negative Pressure Pulmonary Edema following General Anesthesia- A Case Report

Abstract Views: 132  |  PDF Views: 88

Authors

Madhusudan Upadya
MD, Professor, Dept of Anesthesia, Kasturba Medical College, Mangalore, India
Sudhindra G. Kulkarni
MD, Graduate, Dept of Anesthesia, Kasturba Medical College, Mangalore, India
Anand H. Kulkarni
MD, DNB, Asst Prof, Dept of Anesthesia, Kasturba Medical College, Mangalore, India
M. Ambareesha
MD, DA professor and Head, Dept of Anesthesia, Kasturba Medical College, Mangalore, India

Abstract


Negative pressure Pulmonary Edema (NPPE) is a well- recognized but rare complication secondary to upper airway obstruction such as laryngeal spasm during emergence from general anesthesia. We herein report a case of NPPE in a young healthy adult male following minor orthopedic surgery. With prompt diagnosis and treatment he recovered well without significant sequelae. Young healthy males may be at increased risk for laryngospasm-induced pulmonary edema because they have the ability to generate large negative intrathoracic pressures. It has however been described even in neonates. The condition must be promptly recognized to minimize morbidity and mortality.

Keywords


Negative pressure, pulmonary edema, airway obstruction, respiratory distress, laryngospasm