2014, Number 4
<< Back Next >>
Rev Esp Med Quir 2014; 19 (4)
Postoperative acute pulmonary edema of negative pressure
Criollo-Muñoz FH, Espinosa-Espinoza JJ
Language: Spanish
References: 15
Page: 489-493
PDF size: 572.08 Kb.
ABSTRACT
It is not strange that during daily anesthetic practice, we meet patients
without chronic conditions that explain the development of acute pulmonary
edema during the perioperative period. The negative pressure
pulmonary edema has been reported in the literature even in healthy
patients, as a good prognosis entity in the perioperative with an appropriate
multidisciplinary treatment. We report a case of a 29 years
old patient with not known pathologies medical history, he underwent
resection of lipoma on the back of the chest with general anesthesia
and having acute pulmonary edema after endotracheal extubation.
Negative pressure pulmonary edema by laryngospasm was diagnosed
with satisfactory outcome to the medical treatment and is discharged
to 24hours after the event without sequelae. We expose a review of
the pathophysiology of pulmonary edema, differential diagnosis and
treatment that allow the anesthesiologist to guide a strategic plan for
timely management.
REFERENCES
Udeshi A, Shawn M, Pierre E. Postobstructive pulmonary edema. Journal of Critical Care (2010) 25, 508.e1–508.e5
Koh MS, Hsu AAL, Eng P. Negative pressure pulmonary oedema in the medical intensive care unit. Intensive Care Med 2003;29:1601-4.
McConkey PP. Postobstructive pulmonary oedema—a case series and review. Anaesth Intensive Care 2000;28.
Lathan SR, Silverman ME, Thomas BL, et al. Postoperative pulmonary edema. South Med J 1999;92(3):313-5.
Guffin TN, Har-el G, Sanders A, et al. Acute postobstructive pulmonary edema. Otolaryngol Head Neck Surg 1995;112(2):235-7.
Soldano SL, Place LB, Edwards FH, et al. Post-extubationnoncardiogenic pulmonary edema. Mil Med 1993;158:278-80.
Cascade PN, Alexander GD, Mackie DS. Negative-pressure pulmonary edema after endotracheal intubation. Radiology 1993;186(3):67
Matthay MA, Folkesson HG, Clerici C. Lung epithelial fluid transport and the resolution of pulmonary edema. Physiol Rev 2002;82:569–600.
Fremont RD, Kallet RH, Matthay MA, Ware LB. Postobstructive pulmonary edema: A case for hydrostatic mechanisms. Chest 2007;131:1742– 6.
Phoenix SI, Paravastu S, Columb M, Vincent JL, Nirmalan M. Does a higher positive end-expiratory pressure decrease mortality in acute respiratory distress syndrome? A systematic review and meta-analysis. Anesthesiology 2009;110:1098–105.
Jaber S, Chanques G, Jung B: Postoperative noninvasive ventilation. Anesthesiology 2010;112:453–61.
Paul RE, George G. Fatal non-cardiogenic pulmonary oedema after intravenous non-ionic radiographic contrast. Lancet 2002;359:1037–8.
Ware LB, Fremont RD, Bastarache JA, Calfee CS, Matthay MA. Determining the etiology of pulmonary oedema by the oedema fluid-to-plasma protein ratio. EurRespir J 2010;35:331–7.
Patton WC, Baker CL Jr. Prevalence of negative-pressure pulmonary edema at an orthopaedic hospital. J South Orthop Assoc 2000;9:248–53.
Krodel D, BittnerE, Abdulnour R, Brown R, Eikermann M, Case Scenario. Acute Postoperative Negative Pressure Pulmonary Edema. Anesthesiology 2010;113:200–7.