An anesthetic management of negative pressure pulmonary edema

Negative pressure pulmonary edema related to bronchospasm during anesthetic recovery

Corresponding author: Hae Keum Kil, M.D., Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, 50, Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-2414, Fax: 82-2-2227-7897, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licens...

Negative pressure pulmonary edema

Negative-Pressure Pulmonary Edema.

Negative-pressure pulmonary edema (NPPE) or postobstructive pulmonary edema is a well-described cause of acute respiratory failure that occurs after intense inspiratory effort against an obstructed airway, usually from upper airway infection, tumor, or laryngospasm. Patients with NPPE generate very negative airway pressures, which augment transvascular fluid filtration and precipitate interstit...

Recurrent negative pressure pulmonary edema.

An African-American man, aged 34 years, underwent an elective uncomplicated right wrist laceration repair while under general anesthesia. Following extubation, the patient developed hypoxemia, tachypnea, shortness of breath, pulmonary rales, frothy sputum, decreased oxygen saturation, and evidence of upper airway obstruction. Chest radiograph showed pulmonary edema. The patient was diagnosed wi...

Acute postoperative negative-pressure pulmonary edema.

To the Editor: In their case study of negative-pressure pulmonary edema (NPPE), Krodel et al. repeat the oft-cited idea that diuretics should be included in the therapies for this condition. They refer to using furosemide in the postanesthesia care unit for NPPE, which occurred as a result of laryngospasm on emergence. The authors do acknowledge that diuretics are not universally recommended fo...