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[Pulmonary edema after upper airway obstruction]

K M Larsen1, L S Nielsen

  • 1Anaestesi- og intensiv afdeling, Herning Centralsygehus.

Ugeskrift for Laeger
|June 12, 1995
PubMed
Summary

Post obstructive pulmonary edema (POPE) is a rare but serious condition following airway obstruction. Prompt treatment with oxygen therapy or mechanical ventilation leads to recovery within 48 hours.

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Area of Science:

  • Anesthesiology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Post obstructive pulmonary edema (POPE) is a rare complication.
  • It is often associated with anesthesia-induced upper airway obstruction.
  • POPE can also arise from other causes of airway obstruction.

Observation:

  • Two cases of post-anesthetic POPE are presented.
  • Pulmonary edema onset can be delayed up to 90 minutes post-obstruction.
  • Symptoms, risk factors, and pathogenesis are reviewed.

Findings:

  • Treatment involves oxygen therapy with continuous positive airway pressure.
  • Severe cases require intubation and mechanical ventilation with PEEP.
  • Most patients recover fully within 24-48 hours with appropriate management.

Implications:

  • Early recognition and management of POPE are crucial.
  • Understanding risk factors can aid in prophylaxis.
  • This condition highlights the importance of vigilant airway monitoring post-anesthesia.

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