Document Detail

Biting the laryngeal mask: an unusual cause of negative pressure pulmonary edema.
MedLine Citation:
PMID:  10674514     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe negative pressure pulmonary edema due to biting of the laryngeal mask tube at emergence from general anesthesia. CLINICAL FEATURES: A healthy patient underwent general anesthesia using a laryngeal mask airway and mechanical ventilation. During recovery, the patient strongly bit the laryngeal mask and made very forceful inspiratory efforts until the mask was removed. Five minutes later, the patient developed dyspnea and had an hemoptysis of 50 ml fresh blood. Chest radiograph showed bilateral alveolar infiltrates. Pharyngo-laryngeal examination was normal. Bronchoscopy revealed no injury but diffuse pink frothy edema fluid. Clinical examination and chest radiograph became normal after 12 hr of nasal oxygen therapy confirming airway obstruction as the most available cause of this pulmonary edema. CONCLUSION: Airway obstruction due to biting of a laryngeal mask tube may result in negative pressure pulmonary edema.
J M Devys; C Balleau; C Jayr; J L Bourgain
Related Documents :
21947424 - Long-term visual outcome and aneurysm obliteration rate for very large and giant ophtha...
1163874 - Ruminal and plasma concentrations of 3-methylindole associated with tryptophan-induced ...
14253244 - The emergence of isoniazid-resistant cultures in patients with pulmonary tuberculosis d...
21646234 - Treatment of pulmonary embolism using ultrasound-accelerated thrombolysis directly into...
10386744 - The blood supply of the hypoglossal nerve and its relevance to carotid endarterectomy.
21947424 - Long-term visual outcome and aneurysm obliteration rate for very large and giant ophtha...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  47     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-02-24     Completed Date:  2000-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  176-8     Citation Subset:  IM    
Département d'Anesthésie, Institut Gustave Roussy, Villejuif, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Airway Obstruction / complications
Laryngeal Masks*
Pulmonary Edema / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Differential lung ventilation and emergency hyperbaric oxygenation for repair of a tracheal tear.
Next Document:  Analysis of anesthesia physician resources: projected Ontario deficit in 2005.