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Related Experiment Videos

Postobstructive pulmonary edema following anesthesia.

I A Herrick1, B Mahendran, F J Penny

  • 1Department of Anesthesia, University Hospital, University of Western Ontario, London, Canada.

Journal of Clinical Anesthesia
|March 1, 1990
PubMed
Summary
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Postobstructive pulmonary edema can occur after upper airway obstruction, often linked to anesthesia and laryngospasm. Increased awareness among anesthesiologists is crucial for managing this rare complication.

Area of Science:

  • Anesthesiology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Postobstructive pulmonary edema (POPE) is a rare but serious condition.
  • It occurs after the relief of upper airway obstruction.
  • Various causes of obstruction have been identified, including tumors, foreign bodies, and laryngospasm.

Observation:

  • A case of a healthy 20-year-old male who developed POPE after two episodes of acute upper airway obstruction during general anesthesia is presented.
  • Postanesthetic laryngospasm was identified as the likely cause in this case.
  • Risk factors for upper airway obstruction were present in most reported adult cases.

Findings:

  • Postanesthetic laryngospasm is the most frequent cause of POPE in adults.
  • POPE is a poorly recognized syndrome, often perplexing to clinicians.

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  • Heightened awareness can aid in early diagnosis and treatment.

    • Implications:

    • Anesthesiologists should be aware of the potential for POPE following airway obstruction.
    • Recognizing risk factors can help prevent this complication.
    • Prompt diagnosis and management are essential for favorable outcomes in POPE.