Negative Pressure Pulmonary Edema: A Case Report
Abstract
Aim: Negative pressure pulmonary edema (NPPE) is a rare postoperative complication that arises due to upper airway obstruction and appears within an hour of extubation.
Case: The patient was a 19 years-old male with no chronic diseases or complaints in his preoperative assessment. Forty-five minutes after extubation, the patient reported dyspnea, hemoptysis, chest pain and oxygen saturation was 60%. Computer Tomography (CT) scans revealed bilateral infiltration and consolidation, more prominent in the central and apical regions. His bedside echocardiogram was normal. NPPE was considered in the diagnosis; oxygen support, intravenous furosemide, nebulized salbutamol and budosenide were administered in addition to non-invasive mechanical ventilation. Two hours later, the symptoms abated. His repeat X-ray taken after 12 hours showed reduction in lung infiltrates and patient was discharged after five days.
Conclusion: Abrupt decrease in oxygen saturation after extubation, dyspnea, chest pain and hemoptysis point to negative pressure pulmonary edema; the patient must immediately be moved to the intensive care unit and promptly treated.
Keywords
Project Number
Congressl of Lung Health and Intensive Care 2019 Antalya.
References
- 1. Krodel DJ, Bittner EA, Abdulnour R, Brown R, Eikermann M. Case scenario: acute postoperative negative pressure pulmonary edema. Anesthesiology 2010; 113: 200-7. [CrossRef]
- 2. Vandse R, Kothari D, Tripathi RS, et all. Negative Pressure pulmonary edema with laryngeal mask airway use: Recognition, pathophysiology and treatment modalities. Int Crit IIIn Inj Sci 2012; 2: 98– 103. [CrossRef]
- 3. Yücel A, Öztürk E, Erdil F, Aydoğan MS, Ersoy Ö. Akut üst solunum obstrüksiyonunu takiben gelişen negatif basınçlı pulmoner ödem: Olgu sunumu. İnönü Üniversitesi Tıp Fakültesi Derg 2009; 16: 261–3.
- 4. Kara İ, Çelik B.J, Apilioğulları S, Kandemir D. Bir olgu nedeniyle negatif basınçlı akciğer ödemi. Selçuk Üniv Tıp Derg 2010; 26: 106–9.
- 5. Fıstıkçı H, Çakar N, Kırışoğlu CE, ve ark. Negatif basınç akciğer ödemi ve alveoler hemorajide non-invazif pozitif basınçlı ventilasyon. Türk Anest Rean Der 2008; 36: 178-81.
- 6. Özkan D, Arık E, Dolgun H, Gürer B, Gümüş H. Servikal diskektomi sonrası gözlenen negatif basınçlı akciğer ödemi. Anestezi Dergisi 2012; 20: 183-5.
- 7. Tuzcu K, Silay E, Gökahmetoğlu G, Canpolat H. Negatif basınçlı pumoner ödem. Tıp Araştırmaları Dergisi 2012: 10: 75-9.
- 8. Bayar A, Ülke Z, Yavru A, Şentürk M. Negatif Basınç akciğer ödem ile iki olgu sunumu. Türk Anest Rean Der Dergisi 2010; 38: 133-6.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Case Report
Publication Date
September 16, 2019
Submission Date
October 31, 2018
Acceptance Date
April 24, 2019
Published in Issue
Year 2019 Volume: 46 Number: 3
APA
Kabak, M., Çil, B., & Hocanli, İ. (2019). Negative Pressure Pulmonary Edema: A Case Report. Dicle Medical Journal, 46(3), 583-586. https://doi.org/10.5798/dicletip.620633
AMA
1.Kabak M, Çil B, Hocanli İ. Negative Pressure Pulmonary Edema: A Case Report. Dicle Medical Journal. 2019;46(3):583-586. doi:10.5798/dicletip.620633
Chicago
Kabak, Mehmet, Bariş Çil, and İclal Hocanli. 2019. “Negative Pressure Pulmonary Edema: A Case Report”. Dicle Medical Journal 46 (3): 583-86. https://doi.org/10.5798/dicletip.620633.
EndNote
Kabak M, Çil B, Hocanli İ (September 1, 2019) Negative Pressure Pulmonary Edema: A Case Report. Dicle Medical Journal 46 3 583–586.
IEEE
[1]M. Kabak, B. Çil, and İ. Hocanli, “Negative Pressure Pulmonary Edema: A Case Report”, Dicle Medical Journal, vol. 46, no. 3, pp. 583–586, Sept. 2019, doi: 10.5798/dicletip.620633.
ISNAD
Kabak, Mehmet - Çil, Bariş - Hocanli, İclal. “Negative Pressure Pulmonary Edema: A Case Report”. Dicle Medical Journal 46/3 (September 1, 2019): 583-586. https://doi.org/10.5798/dicletip.620633.
JAMA
1.Kabak M, Çil B, Hocanli İ. Negative Pressure Pulmonary Edema: A Case Report. Dicle Medical Journal. 2019;46:583–586.
MLA
Kabak, Mehmet, et al. “Negative Pressure Pulmonary Edema: A Case Report”. Dicle Medical Journal, vol. 46, no. 3, Sept. 2019, pp. 583-6, doi:10.5798/dicletip.620633.
Vancouver
1.Mehmet Kabak, Bariş Çil, İclal Hocanli. Negative Pressure Pulmonary Edema: A Case Report. Dicle Medical Journal. 2019 Sep. 1;46(3):583-6. doi:10.5798/dicletip.620633