Negative Pressure Pulmonary Edema and Hemorrhage after Extubation: A Case Report.
10.4266/kjccm.2010.25.2.98
- Author:
Yoon Suk RA
1
;
Chi Hyo KIM
;
Jong In HAN
;
Dong Yeon KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea. 120060@mm.ewha.ac.kr
- Publication Type:Case Report
- Keywords:
airway obstruction;
extubation;
negative pressure;
pulmonary edema;
pulmonary hemorrhage
- MeSH:
Airway Extubation;
Airway Obstruction;
Anoxia;
Blood Gas Analysis;
Hemorrhage;
Humans;
Laryngismus;
Pulmonary Edema;
Sputum;
Tachypnea
- From:The Korean Journal of Critical Care Medicine
2010;25(2):98-103
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Negative pressure pulmonary edema (NPPE) is a rare complication of acute airway obstruction which develops after endotracheal extubation. The proposed mechanism is generation of very low negative pressure during laryngospasm by inspiratory efforts, which leads to alveolar exudation and hemorrhage. The diagnosis of NPPE is confirmed by clinical findings of tachypnea, pink prothy sputum in the endotracheal tube, hypoxemia on arterial blood gas analysis, and distinctive radiologic findings. NPPE is usually self-limited within 48 hours when diagnosed early and treated appropriately. We report three patients who recovered from NPPE without complications.
