Postoperative Pulmonary Edema Conundrum: A Case of Negative Pressure Pulmonary Edema

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...

Case scenario: acute postoperative negative pressure pulmonary edema.

FORMATION of noncardiogenic pulmonary edema has been observed after a variety of inciting events, including upper airway obstruction (negative pressure pulmonary edema [NPPE]), acute lung injury, anaphylaxis, fluid maldistribution, and severe central nervous system trauma (neurogenic pulmonary edema). Both the diagnosis of pulmonary edema and an understanding of its underlying pathophysiology h...

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...

Negative pressure pulmonary edema: case report.