Related Experiment Videos
Negative pressure pulmonary edema after oral and maxillofacial surgery
Hideki Mamiya1, Tatsuya Ichinohe, Yuzuru Kaneko
1Department of Dental Anesthesiology, Tokyo Dental College, Chiba, Japan. mamiya@tdc.ac.jp
Abstract:
Negative pressure pulmonary edema (NPPE) following upper airway obstruction (UAO) has been reported in several clinical situations. The main cause of NPPE is reported to be increased negative intrathoracic pressure. We present a case of NPPE that occurred after general anesthesia for plate removal after jaw deformity surgery. After completion of the surgery, administration of inhaled anesthetics was stopped and the patient opened his eyes on verbal command. Immediately after extubation, the patient stopped breathing and became cyanotic. Acute UAO following laryngospasm was suspected. Soon after reintubation, pink, frothy fluid came out of the endotracheal tube, and a tentative diagnosis of NPPE was made. Continuous positive airway pressure was applied. In addition, furosemide and dexamethasone were administered. By the next day, the symptoms had almost disappeared.
Related Concept Videos
Pulmonary Edema II: Pathophysiology
Suctioning the Nasopharyngeal Airway
Equipment Required
Pneumothorax-II
Clinical Manifestations:
Tonsillitis II: Management
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Epistaxis
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...