Negative Pressure Pulmonary Edema: A Case Report

Yıl 2019, Cilt: 46 Sayı: 3, 583 - 586, 16.09.2019

Mehmet Kabak Bariş Çil İclal Hocanli

https://doi.org/10.5798/dicletip.620633

Öz

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.

Anahtar Kelimeler

Hemoptysis, pulmonary edema

Proje Numarası

Congressl of Lung Health and Intensive Care 2019 Antalya.

Kaynakça

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