Document Detail

Negative pressure pulmonary edema after oral and maxillofacial surgery.
MedLine Citation:
PMID:  19642719     Owner:  NLM     Status:  MEDLINE    
Negative pressure pulmonary edema (NPPE) following upper airway obstruction (UAO) has been reported in several clinical situations. The main cause of NPPE is reported to be increased negative intrathoracic pressure. We present a case of NPPE that occurred after general anesthesia for plate removal after jaw deformity surgery. After completion of the surgery, administration of inhaled anesthetics was stopped and the patient opened his eyes on verbal command. Immediately after extubation, the patient stopped breathing and became cyanotic. Acute UAO following laryngospasm was suspected. Soon after reintubation, pink, frothy fluid came out of the endotracheal tube, and a tentative diagnosis of NPPE was made. Continuous positive airway pressure was applied. In addition, furosemide and dexamethasone were administered. By the next day, the symptoms had almost disappeared.
Hideki Mamiya; Tatsuya Ichinohe; Yuzuru Kaneko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anesthesia progress     Volume:  56     ISSN:  0003-3006     ISO Abbreviation:  Anesth Prog     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-31     Completed Date:  2009-09-22     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  0043533     Medline TA:  Anesth Prog     Country:  United States    
Other Details:
Languages:  eng     Pagination:  49-52     Citation Subset:  D    
Department of Dental Anesthesiology, Tokyo Dental College, Chiba, Japan.
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MeSH Terms
Continuous Positive Airway Pressure
Laryngismus / complications,  etiology
Oral Surgical Procedures / adverse effects*
Pulmonary Edema / etiology*,  physiopathology,  therapy

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