Acute Postoperative Negative Pressure Pulmonary Edema as Complication of Acute Airway Obstruction: Case Report
Zhurda T*, Muzha D, Dautaj B, Kurti B, Marku F, Jaho E and Sula E
Department of Anesthesiology and Intensive Care, University Trauma Hospital, Tirana, Albania
- *Corresponding Author:
- Zhurda T
Department of Anesthesiology and Intensive Care
University Trauma Hospital, Tirana, Albania
E-mail: [email protected]
Received date: December 26, 2015; Accepted Accepted date: February 10, 2016; Published date: February 18, 2016
Citation: Zhurda T, Muzha D, Dautaj B, Kurti B, Marku F, et al. (2016) Acute Postoperative Negative Pressure Pulmonary Edema as Complication of Acute Airway Obstruction: Case Report. J Anesth Clin Res 7:603. doi: 10.4172/2155-6148.1000603
Copyright: © 2016 Zhurda T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Acute postoperative negative pressure pulmonary edema (NPPE) is a respiratory complication due to acute airway obstruction (UAO) that occurs shortly after extubation of patients who underwent general anesthesia (incidence 0.05 to 0.1% ). Usually, this complication develops in healthy young patients, capable of generating high negative intrathoracic pressures(NIP), which is the catalyst in the pathophysiological cascade of acute pulmonary edema.Commonly presents as acute respiratory distress that requires immediate intervention. We report a case of postoperative NPPE occurred immediately after tracheal extubation in an adult patient, who underwent a minor elective orthopedic surgery under general anesthesia(GA). After extubation, UAO due to laryngospasm was observed and the patient started desaturating rapidely. Application of positive pressure via face mask ventilation (FiO2 100%) was unsuccessful in providing effective ventilation so we decided to reintubate the patient. Soon after reintubation, there were bilateral pulmonary rales and pink frothy secretion inside the tracheal tube, compatible with NPPE. Treatment was rapidly instituted with diuretic, corticosteroid and ventilator support with added PEEP. Pulmonary edema resolved completely near after 8 hours later without any complications in the intensive care unit.