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Updated: May 23, 2025

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Published on: February 26, 2013
Negative pressure pulmonary edema following vertebral artery stenting
Xin Huang1, Ai-Ping Li2, Wen-Sheng Zhou2
1Department of Neurology, the First Affiliated Hospital of Hunan Normal University Hunan Provincial People's Hospital, Changsha 410000, China.
Introduction And Importance:
Negative pressure pulmonary edema is a rare systemic complication ensuing from general anesthesia.
Case Presentation:
In this report, a middle-aged male Who underwent V4 of vertebral artery stenting under general anesthesia, developed acute respiratory distress and a decrease inoxyhemoglobin saturation(SpO2). The condition was controlled after giving high concentration of oxygen assisted ventilation and sputum suction.
Clinical Discussion:
The treatment process of this case suggested that negative pressure pulmonary edema is highly suspected when acute pulmonary edema occurs during the resuscitation of general anesthesia. The goal of the treatment is to keep the upper airway patent and correct hypoxemia.
Conclusion:
NPPE is a clinically rare complication. The goal of the treatment is to keep the upper airway patent and correct hypoxemia.
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