Negative Pressure Pulmonary Edema following General Anesthesia- A Case Report

Authors

  •   Madhusudan Upadya MD, Professor, Dept of Anesthesia, Kasturba Medical College, Mangalore
  •   Sudhindra G. Kulkarni MD, Graduate, Dept of Anesthesia, Kasturba Medical College, Mangalore
  •   Anand H. Kulkarni MD, DNB, Asst Prof, Dept of Anesthesia, Kasturba Medical College, Mangalore
  •   M. Ambareesha MD, DA professor and Head, Dept of Anesthesia, Kasturba Medical College, Mangalore

Keywords:

Negative pressure, pulmonary edema, airway obstruction, respiratory distress, laryngospasm

Abstract

Negative pressure Pulmonary Edema (NPPE) is a well- recognized but rare complication secondary to upper airway obstruction such as laryngeal spasm during emergence from general anesthesia. We herein report a case of NPPE in a young healthy adult male following minor orthopedic surgery. With prompt diagnosis and treatment he recovered well without significant sequelae. Young healthy males may be at increased risk for laryngospasm-induced pulmonary edema because they have the ability to generate large negative intrathoracic pressures. It has however been described even in neonates. The condition must be promptly recognized to minimize morbidity and mortality.

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Published

2008-01-01

How to Cite

Upadya, M., Kulkarni, S. G., Kulkarni, A. H., & Ambareesha, M. (2008). Negative Pressure Pulmonary Edema following General Anesthesia- A Case Report. Karnataka Anaesthesia Journal, (1). Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/140388

Issue

Issue 1, 2008

Section

Articles

References

Feng Su, Hung, Chang . Negative- Pressure Pulmonary Edema After General Anesthesia: A Case Report .Changhua J Med 2005 :10 (1); 31-33.

Patton WC, Baker CL Jr : Prevalence of Negative- Pressure Pulmonary Edema at an orthopedic Hospital: J South Orthop Assoc 2000: 9; 248-253.

Alvarez, Valenzuela, Urtubia. Negative- Pressure Pulmonary Edema :Difficult Airway 2002:3 (1); 40-44.

Willms, Shure. Pulmonary Edema due to upper airway obstruction in adults. Chest 1988: 95(5) 1090-1092.

Jackson, Rowland, Corssen. Laryngospasm- induced pulmonary edema. Chest 1980 :78 (6) ;819-821.

Lang SA, Duncan PG, Shepard DA, Ha HC. Pulmonary Edema associated with airway obstruction. Can J Anaesth 1990: 37; 210-218

Price SL, Hecker BR . Pulmonary Edema following airway obstruction in a patient with Hodgkin’s Disease. Br J Anaesth 1987, 59, 518-521

Oswalt CE, Gates GA, Holmstrom FMG. Pulmonary Edema as a complication of acute airway obstruction. JAMA 1977: 238;1833-1835