Öz
Negative-pressure pulmonary edema can arise in patients having upper airway obstruction following extubation. The aim of this study is to present the case that had negative-pressure pulmonary edema after orthognathic surgery and to review the literature. Twenty-seven year-old male patient underwent to bimaxillary orthognathic surgery. At the postanesthesia care unit the patient had marked respiratory distress and significant arterial oxgen desaturation. The patient was reintubated and transported to the Intensive Care Unit. Extubation was done after 6 hours and continious positive airway pressure was applied for 2 days at Intensive Care Unit. On the postoperative second and third day vascular congestion resolved on the chest radiograpies. C-reactive protein, leukocyte , neutrophil counts, partial pressure of arterial oxygen and carbon dioxide showed improvement during the treatment. Negative-pressure pulmonary edema is a life-threatening complication that can be seen after orthognathic surgery and can be managed with early diagnosis and accurate treatment protocol.
Anahtar Kelimeler
Orthognathic surgery Oral surgery General anesthesia Pulmonary edema
Kaynakça
- 1- Bhattarai B, Shrestha S: Negative pressure pulmonary edema- case series and review of literature. Kathmandu Univ Med J 2011;36(4):310-314.
- 2- Bhaskar B, Fraser JF: Negative pressure pulmonary edema: Pathophysiology and review of management. Saudi J Anaesth 2011;5:308-313.
- 3- Louis PJ, Fernandes R: Negative pressure pulmonary edema. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:4-6.
- 4- Garcia de Hombre AM, Cuffini A, Bonadeo A: Negative pressure pulmonary oedema after septoplasty. Acta Otorrinolaringol Esp 2013;64(4):300-302.
- 5- Hendler BH, Lawrence ML: Postobstructive pulmonary edema as a sequela of temporomandibular joint arthroscopy: A case report. J Oral Maxillofac Surg 1993;51:315-317.
- 6- Yanko R, Garfunkel AA, Kaufman E: Pulmonary edema: A complication following dental treatment under general anesthesia. Anesth Prog 1996;43:61-63.
- 7- Mamiya H, Ichinohe T, Kaneko Y: Negative pressure pulmonary edema after oral and maxillofacial surgery. Anesth Prog 2009;56:49-52.
- 8- Waheed Z, Khan JA: Negative pressure pulmonary oedema: A rare complication following general anesthesia. J Pak Med Assoc 2011;61(3):290-292.
- 9- Ok Hong S, Chung JY, Lee DW: Quick and accurate measures in negative pressure pulmonary edema: A guideline for orthognathic surgeons. J Craniofac Surg 2014;25(5):433-435.
- 10- Asai K, Sonobe J, Yamashita K, Bessho K: Negative pressure pulmonary edema after orthognathic surgery for osteogenesis imperfecta. J Oral Maxillofac Surg Med Pathol 2018;30 (4):342-345.
- 11- Bertossi D, Vismara G, Baltieri A, Toffenetti F, Furlani M, Anesi A, et al: Bilateral pneumothorax after orthognathic surgery. Int J Oral Maxillofac Surg 2005;34 (Supp 1): 104-105.
Ortognatik cerrahiyi takiben gelişen negatif basınçlı pulmoner ödem : olgu sunumu ve literatür derlemesi
Öz
Negatif basınçlı pulmoner ödem ekstubasyon sonrası üst solunum yolu obstruksiyonu olan hastalarda gelişebilmektedir. Bu çalışmanın amacı ortognatik cerrahi sonrası negatif basınçlı pulmoner ödem gelişen bir vakanın takdimi ve bu konu ile ilgili çalışmaları derlemektir. Yirmi yedi yaşındaki erkek hastaya çift çene osteotomisi uygulandı. Postanestezi bakım ünitesinde hastada belirgin solunum depresyonu ve arterial oksijen desaturasyonu gelişti. Hasta yeniden entube edildi ve yoğun bakım ünitesine alındı. İkinci ve 3. günlerde alınan akciğer grafilerinde vaskuler konjesyonda azalma olduğu görüldü. Tedavi sürecinde C-reaktif protein, lökosit ve nötrofil sayısı, arteryal oksijen ve karbondioksit parsiyel basınçlarında iyileşme görüldü. Negatif basınçlı pulmoner ödem ortognatik cerrahi sonrası görülebilen, yaşamı tehdit eden bir komplikasyondur; erken tanı ve uygun tedavi protokolu ile bu komplikasyonun başarılı bir şekilde yönetimi mümkündür.
Anahtar Kelimeler
Ortognatik cerrahi Oral cerrahi Genel anestezi Pulmoner ödem
Kaynakça
- 1- Bhattarai B, Shrestha S: Negative pressure pulmonary edema- case series and review of literature. Kathmandu Univ Med J 2011;36(4):310-314.
- 2- Bhaskar B, Fraser JF: Negative pressure pulmonary edema: Pathophysiology and review of management. Saudi J Anaesth 2011;5:308-313.
- 3- Louis PJ, Fernandes R: Negative pressure pulmonary edema. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:4-6.
- 4- Garcia de Hombre AM, Cuffini A, Bonadeo A: Negative pressure pulmonary oedema after septoplasty. Acta Otorrinolaringol Esp 2013;64(4):300-302.
- 5- Hendler BH, Lawrence ML: Postobstructive pulmonary edema as a sequela of temporomandibular joint arthroscopy: A case report. J Oral Maxillofac Surg 1993;51:315-317.
- 6- Yanko R, Garfunkel AA, Kaufman E: Pulmonary edema: A complication following dental treatment under general anesthesia. Anesth Prog 1996;43:61-63.
- 7- Mamiya H, Ichinohe T, Kaneko Y: Negative pressure pulmonary edema after oral and maxillofacial surgery. Anesth Prog 2009;56:49-52.
- 8- Waheed Z, Khan JA: Negative pressure pulmonary oedema: A rare complication following general anesthesia. J Pak Med Assoc 2011;61(3):290-292.
- 9- Ok Hong S, Chung JY, Lee DW: Quick and accurate measures in negative pressure pulmonary edema: A guideline for orthognathic surgeons. J Craniofac Surg 2014;25(5):433-435.
- 10- Asai K, Sonobe J, Yamashita K, Bessho K: Negative pressure pulmonary edema after orthognathic surgery for osteogenesis imperfecta. J Oral Maxillofac Surg Med Pathol 2018;30 (4):342-345.
- 11- Bertossi D, Vismara G, Baltieri A, Toffenetti F, Furlani M, Anesi A, et al: Bilateral pneumothorax after orthognathic surgery. Int J Oral Maxillofac Surg 2005;34 (Supp 1): 104-105.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 4 Sayı: 1 |
