Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation.
نویسندگان
چکیده
Background: Acute negative pressure pulmonary edema is a complication that usually occurs shortly after extubation in patients receiving general anesthesia. It may also occur due to the bite of endotracheal tube prior extubation.Case presentation: A 52-year-old male patient was scheduled for ventriculoperitoneal shunt operation. General anesthesia applied. Respiratory and hemodynamic variables were stable during surgery. At end surgery, anesthetic drugs discontinued, lumen oropharynx aspirated. When oropharyngeal airway placed bit occluded his tube, began exerting breathing effort. Rapid desaturation observed pink foamy secretion came through tube. Bilateral diffuse crackles present. chest X-ray revealed bilateral edema. The transferred intensive care unit, sedation applied volume controlled positive mechanical ventilation started. extubated at 12th postoperative hour sent ward on third day. Discussion: plan should be done well. Aspiration performed either under deep or when fully awake. Oropharyngeal adequate depth before extubation. Although reduces risk biting subsequent development edema, it not prevent completely. In treatment, invasive non-invasive preferred depending severity obstruction degree hypoxia. Early diagnosis treatment life-saving.
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ژورنال
عنوان ژورنال: Sa?l?k akademisi Kastamonu
سال: 2021
ISSN: ['2548-1010']
DOI: https://doi.org/10.25279/sak.610933