Negative pressure pulmonary oedema induced by direct suctioning of endotracheal tube adapter

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Negative pressure pulmonary oedema.

EDITOR: Negative pressure pulmonary oedema is a medical emergency that usually arises from attempted ventilations against an acutely obstructed upper airway, such as the one that occurs during laryngospasm, resulting in transudation of fluid from pulmonary capillaries to the interstitium. Frequently, this occurs in the perioperative period when general anaesthesia is used. Clinicians should pro...

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Negative pressure pulmonary oedema (NPPO) is an anaesthetic complication due to acute obstruction of the upper airway, whose main cause is laryngospasm. The pathophysiology involves a strong negative intrapleural pressure during inspiration against a closed glottis, which triggers excessive pressure in the pulmonary microvasculature. Although its diagnosis can be difficult, its recognition help...

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Case study involving suctioning of an electromyographic endotracheal tube.

The electromyographic endotracheal tube (EMG-ETT) is a relatively new tool used to measure integrity of the vocal cord structures during surgery. We describe a case in which an EMG-ETT was inserted for the operative period but not replaced with an ETT during the immediate postoperative period. Intensive care unit nurses had difficulty suctioning the EMG-ETT. The patient was not provided the pul...

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Negative pressure pulmonary oedema: a rare complication following general anaesthesia.

An important cause of pulmonary oedema is Negative Pressure Pulmonary Oedema (NPPE) which characteristically develops soon after extubation from an endo-tracheal intubation. In this case report we identified a case of previously healthy man who was intubated for General Anaesthesia for extraction of impacted molar tooth. Soon after extubation he developed severe respiratory distress. Immediate ...

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The Effect of Endotracheal Tube Suctioning Education of Nurses on Decreasing Pain in Premature Neonates

OBJECTIVE Endotracheal tube suctioning (ETS) is a painful and invasive procedure. Studies have shown that the performance of nurses in this procedure is weak, so we conducted a study to evaluate the effect of ETS education for nurses on neonates' pain in neonatal intensive care units (NICUs). METHODS In a quasi-experimental study, performance of 25 nurses working in NICU was assessed before a...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1998

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03012150