Related Experiment Video
Updated: May 22, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Negative-pressure pulmonary oedema in a patient undergoing shoulder arthroscopy
Anoop Raj Gogia1, Jeetendra Bajaj, Ameeta Sahni
1Department of Anaesthesia and Intensive Care, Safdarjung Hospital and Vardhaman Mahavir Medical College, New Delhi, India.
Abstract:
An 18-year-old ASA-I patient who underwent elective left shoulder arthroscopy developed severe airway obstruction post-extubation due to fluid extravasation from the shoulder joint into the neck and airway tissue. Re-intubation for relief of obstruction resulted in negative-pressure pulmonary oedema. The patient was electively ventilated in the intensive care unit and recovered uneventfully. A high index of suspicion along with monitoring of neck circumference can prevent this kind of complication.
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