Septorinoplasti sonrası laringospazma bağlı gelişen negatif basınçlı pulmoner ödem: olgu sunumu

Year 2020, Volume: 2 Issue: 4, 145 - 148, 23.09.2020

Vildan Kölükçü , Murat Beyhan

Abstract

Negatif basınçlı pulmoner ödem (NBPÖ), üst hava yolu obstrüksiyonuna zorlu inspiratuar cevap sonucu meydana gelen nonkardiyojenik tipteki pulmoner ödem tablosudur. Erken müdahale edilmediği takdirde morbidite ve mortalite oranı yüksek seyreden genel anestezinin nadir bir komplikasyonu olarak gösterilmektedir. Çalışmamızda septorinoplasti operasyonu uygulanan otuz beş yaşındaki genç erkek hastada ekstübasyon sonrası erken dönemde gelişen laringospazma bağlı NBPÖ’in tanı ve tedavi yaklaşımlarının sunulması amaçlanmıştır.

Keywords

Negatif basınçlı pulmoner ödem

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References

• 1- Vandse R, Kothari D, Tripathi RS, Lopez L, Stawicki S, Pa-padimos T. Negative Pressure pulmonary edema with laryngeal mask airway use: Recognition, pathophysiology and treatment modalities. Int Crit IIIn Inj Sci 2012; 2:98-103.
• 2- Oswalt CE, Gates GA, Holstrom FMG. Pulmonary edema as a complication of acute airway obstruction. JAMA 1977; 238:1833-5.
• 3- Bhaskar B, Fraser JF. Negative pressure pulmonary edema revisited: Pathophysiology and review of management. Saudi J Anaesth. 2011; 5: 308-313.
• 4- Zulueta JJ, Gerblich AA. Upper airway obstruction due to inhalation of a tracheal T-tube resulting in pulmonary edema. Chest 1992; 102:644–5.
• 5- Deepika K, Kenaan CA, Barrocas AM, Fonseca JJ, Bikazi GB. Negative pressure pulmonary edema after acute upper airway obstruction. J Clin Anesth 1997; 9(5):403-8.
• 6- Tami TA, Chu F, Wildes TO, Kaplan M. Pulmonary edema and acute upper airway obstruction. Laryngoscope 1986; 96:506-9.
• 7- Ahmed Q, Chung-Park M, Tomashefski JF Jr. Cardio-pulmonary pathology in patients with sleep apnea/ obesity hypoventilation syndrome. Hum Pathol 1997; 28:264-9.
• 8- Westreich R, Sampson I, Shaari CM, Lawson W. Negati-ve-pressure pulmonary edema after routine septorhinoplasty: discussion of pathophysiology, treatment, and pre-vention. Arch Facial Plast Surg 2006; 8:8-15.
• 9- Willms D, Shure D. Pulmonary edema due to upper airway obstruction in adults. Chest, 1988; 94:1090-92.
• 10- Gotta AW, Ferrari LR, Sullivan CA. Anesthesia for otolaryngologic surgery. In: Barash PG. Clinical Anesthesia, 4th edition, Philadelphia: 2001: 991-3.
• 11- Erdoğan G, Şahan L, Özcan M, Gamlı M, Dikmen B. Negative pressure pulmonary edema: Case report. Turkiye Klinikleri J Anest Reanim 2007; 5(1):44-7.
• 12- Goldenberg JD, Portugal LG, Wenig BL, Weingarten RT. Negative pressure pulmonary edema in the otolaryngology patient. Otolaryngol Head Neck Surg 1997; 117 (1):62-6.
• 13- Perez RO, Bresciani C, Jacop CE. Negative pressure post-extubation pulmonary edema complication appendectomy in a young patient: Case report. Curr surg. 2004; 6:463-5.
• 14- Mehta VM, Har-El G, Goldstein NA. Postobstructive pulmonary edema after laryngospazm in the otoolarygology patient. Laryngoscope 2006;116:1693-6.
• 15- Chuang YC, Wang CH, Lin YS. Negative pressure pulmonary edema: Report of three cases and review of the literature. Eur Arch Otorhinolaryngol 2007; 264:1113-16.