Reséndiz OMT, Matadamas RLS, Revilla RE

Language: Spanish
References: 16
Page: 47-51
PDF size: 307.58 Kb.

ABSTRACT

Introduction: The acute pulmonary edema negative pressure is a complication described since 1977 due to the blockage of the airway breathing in children and adults. Although its etiology is multifactorial, highlights the excessive negative intrathoracic pressure caused by the forced spontaneous inspiration of a patient with a closed glottis, it results in transudate fluid from the capillaries into the pulmonary alveolar-interstitial space. The resulting pulmonary edema can occur within minutes after the airway obstruction or after several hours. The clinical manifestations are potentially serious, but usually responds well to treatment with oxygen, mechanical ventilation and diuretics. It is important to diagnose it to management immediately.
Objective: Report of a patient with acute lung edema by negative pressure in the immediate post with severe acute respiratory failure and pulmonary hemorrhage that required attention in the ICU.
Design: A case report.
Setting: ICU Hospital Regional de Alta Especialidad from Oaxaca.
Patient: male patient aged 42, farmer, scheduled for elective way to meningioma resection surgery, intubation a traumatic to the 1st attempt, during the surgery without complications, saturated to 98%, reporting bleeding of 400 mL. Awakening at the end of surgery it was extubated and go to the intensive care unit after surgery with fc: 80 x´ and SpO₂: 90%.

REFERENCES

1. Goldenberg JD, Portugal LG, Wenig BL, Weingartenrt. Negative-pressure pulmonary edema in the otolaryngology patient. Otolaryngol Head Neck Surg 1997;117:62-66.

2. Halow KD, Ford EG. Pulmonary edema following post-operative laryngospasm: a case report and review of the literature. Am Surg 1993;59:443-447.

3. Deepika K, Kenaan CA, Barrocas AM, Fonseca JJ, Bikazi GB. Negative pressure pulmonary edema after acute upper airway obstruction. J Clin Anesth 1997;9: 403-408.

4. Engoren MC. Negative-pressure pulmonary edema with a patient airway. J Burn Care Rehabil 1998;19:317-320.

5. Lorch DG, Sahn SA. Post-extubation pulmonary edema following anesthesia induced by upper airway obstruction. Are certain patients at increased risk? Chest 1986;90:802-805.

6. Kadota Y, Imabayashi T, Gushiken T, Kawasaki K, Oda T, Yoshimura N. Pulmonary edema due to acute airway obstruction immediately after tracheal extubation. Masui 1998;47:1333-1337.

7. Stuth EA, Stucke AG, Berens RJ. Negative pressure pulmonary edema in a child with hiccups during induction. Anesthesiology 2000;93:282-284.

8. Osmer C, Al-oweidi A, Klimek T. Snoring and postoperative pulmonary edema. Anasthesiol Intensiv med Notfallmed Schmerzther 2000;35:177-180.

9. Adachi Y, Takigami J, Nakai T, Watanabe K, Uchihashi Y, Aramaki Y et al. Negative-pressure pulmonary edema associated with transurethral resection syndrome. Masui 2000;49:1226-1230.

10. Silva PS, Monteiro NH, Andrade MM, Neves CV. Negative-pressure pulmonary edema: a rare complication of upper airway obstruction in children. Pediatr Emerg Care 2005;21:751-754.

11. Memtsoudis SG, Rosenberger P, Sadovnikoff N. Chest tube suction-associated unilateral negative pressure pulmonary edema in a lung transplant patient. Anesth Analg 2005;101:38-40.

12. Hannania S, Barak M, Katz Y. Unilateral negative-pressure pulmonary edema in an infant during bronchoscopy. Pediatrics 2004;113:501-503.

13. Sullivan M. Unilateral negative pressure pulmonary edema during anesthesia with a laryngeal mask airway. Can J Anaesth 1999;46:1053-1056.

14. Kulka PJ, Issel R, Wiebalck A, Strumpf M, Gehling M. Delayed negative pressure pulmonary edema. Anaesthesist 2003;52:132-136.

15. Schwartz DR, Maroo A, Malhotra A, Kesselman H. Negative pressure pulmonary hemorrhage. Chest 1999; 115:1194-1197.

16. Sow NY, Garewal D. Pulmonary hemorrhage in association with negative pressure edema in an intubated patient. Acta Anaesthesiol Scand 2001;45:911-913.