Hernández-Palacios CA, Arguello-López BM, Navarro-Vargas JR

Language: Spanish
References: 23
Page:
PDF size: 74.14 Kb.

ABSTRACT

Introduction: the laryngeal mask is a extraglottic device safe for handling ventilation and oxygenation of the patient, however it can produce complications such as laryngeal spasm that can trigger an acute pulmonary edema of negative.
Objective: To show an anesthesiology clinical course of a patient with acute pulmonary edema by negative pressure after removal of laryngeal mask.
Case description: Young patient with no medical history, whom he underwent an orthopedic surgical procedure under general anesthesia with laryngeal mask and mechanical ventilation; after removal of the laryngeal mask presented laryngospasm, which determined important inspiratory effort; 5 minutes later he developed progressive dyspnea hypoxemia and hemoptysis. It was perfomed tracheal intubation with rapid sequence induction; alveolar infiltrates were found in the chest radiograph bilateral. The management of this pulmonary complication was held in the ICU; 36 hours after were extubated according to satisfactory clinical evolution, without further complications.
Conclusion: the review of the literature emphasizes the importance of prevention and early detection of laryngeal spasm, to avoid the serious complications that can occur which is the pulmonary edema negative pressure which should be managed in an ICU.

REFERENCES

1. Bhattarai B, Shrestha S. Negative pressure pulmonary edema case series and review of literature. Kathmandu Univ Med J (KUMJ). 2011; 9(36):310-315.

2. Devys JM, Balleau C, Jayr C, Bourgain JL. Biting the laryngeal mask: an unusual cause of negative pressure pulmonary edema. Can J Anaesth. 2000; 47(2):176-178.

3. Vandse R, Kothari DS, Tripathi RS, Lopez L, Stawicki SP, Papadimos TJ. Negative pressure pulmonary edema with laryngeal mask airway use: Recognition, pathophysiology and treatment modalities. Int J Crit Illn Inj Sci. 2012;2(2):98-103.

4. N D´Souza, Garg R. Perioperative laryngospasm- review of literature. The Internet Journal of Anesthesiology. 2008;20 (1) Lorch DG, Sahn SA. Post-extubation pulmonary edema following anesthesia induced by upper airway obstruction. Are certain patients at increased risk? Chest. 1986;90(6):802-05.

5. Wu RG. Negative pressure pulmonary edema. J Intern Med Taiwan 2015; 26:63-8.

6. Oswalt CE, Gates GA, Holmstrom MG. Pulmonary edema as a complication of acute airway obstruction. JAMA. 1977; 238:1833–35.

7. Saquib M, Ahmad M, Khan RA. Development of negative pressure pulmonary oedema secondary to postextubation laryngospasm. Anaesth Pain & Intensive Care. 2011; 15(1):42-4

8. Davidson S, Guinn Ch, Gacharna D. Diagnosis and treatment of negative pressure pulmonary edema in a pediatric patient: a case report. AANA Journal 2004;72(5):337-38.

9. Ortiz-Gómez JR, Plaja-Marti I, Sos-OrtigosaF, Pérez-Cajaraville JJ, Arteche-Andrés MA, et al. Edema pulmonar por presión negativa: a propósito de 3 casos. An Sist Sanit Navar. 2006; 29(2):269-74.

10. Reséndiz MT, Matadamas LS, Revilla E. Edema pulmonar de presión negativa y hemorragia pulmonar, reporte de una caso y revisión de la literatura. Revista de la Asociación Merxicana de medicina Crítica y Terapia Intensiva. 2009;23(1):47-51.

11. Alcázar Villar Ma. J, López-Herce Cid J, Sancho-Pérez L, Cebrián Pazos J, Carrillo Álvarez A. Edema agudo de pulmón por laringoespasmo tras la recuperación de una anestesia general. An Esp Pediatr. 1998;48:660-62.

12. Kesimci E, Aslan B, Gümüs T, Kanbak O. Management of unpredıcted postoperatıve Negatıve Pressure Pulmonary edema: A Report of Two Cases. The Internet Journal of Anesthesiology. 2007;12(1):7

13. Ricchiuti D, Jetley A. Negative pressure pulmonary oedema in a healthy male patient. [citado 15 de octubre de 2015] Disponible en: www.bjui.org

14. Ezri T, Priscu V, Szmuk P, Soroker D. Laryngeal mask and pulmonary edema. Anesthesiology. 1993;78:219

15. Bhavani-Shankar K, Hart NS, Mushlin PS. Negative pressure induced airway and pulmonary injury. Can J Anaesth. 1997;44:78-81

16. Gataure PS, Latto IP, Rust S. Complications associated with removal of the laryngeal mask airway: comparision of removal in deeply anaesthetized versus awake patients. Can J Anaesth. 1995;42(12): 1113-16.

17. Gavel G, Robert WM. Laryngospasm in anesthesia. Contin Educ Anaesth Crit Care Pain. 2014;14:47-51

18. Singh K, Gulia J, Raghove P. Post-operative pulmonary edema after modified radical mastoidectomy. Internet J Otorhinolaryngol. 2010;13:6-9

19. Koch SM, Abramson DC, Ford M, Peterson D, Katz J. Bronchoscopic findings in post-obstructive pulmonary oedema. Can J Anaesth. 1996;43(1):73-76

20. Guffin TN, Har-el G, Sanders A, Lucente FE, Nash M. Acute postobstructive pulmonary edema. Otolaryngol Head Neck Surg 1995;112(2):235-37

21. Lang SA, Duncan PG, Shephard DA, Ha H. Pulmonary oedema associated with airway obstruction. Can J Anaesth. 1990; 37(2):210-18.

22. Udeshi A, Cantie S, Pierre E. Postobstructive pulmonary edema. Journal of Critical Care. 2010; 25:508.e1– 508.e5

23. Mercanoglu E, Ilham C, Yurtlu D, Basel A, Sagatli E. Early postoperative complication called negative pressure pulmonary edema seen in a Young athletic male. Anestezi Dergisi. 2010; 18(2):126-29.