Document Detail

Negative pressure pulmonary edema during tracheal dumon stent implantation.
MedLine Citation:
PMID:  23207542     Owner:  NLM     Status:  In-Data-Review    
Negative pressure pulmonary edema (NPPE), or acute postobstructive pulmonary edema, is caused by negative intrathoracic pressure against an obstructed upper airway. Although NPPE is generally a benign condition, several fatal cases attributed to the delay in diagnosis have been reported. We report a case of NPPE experienced during Dumon stent placement. In a 39-year-old man, unilateral NPPE developed upon relief from a right main bronchial obstruction caused by a blood clot within the Dumon. The incident indicates that the "increased preload theory" is unable by itself to explain the pathophysiology of NPPE. Although we preferred spontaneous assisted ventilation for interventional rigid bronchoscopy, the potential risk of NPPE during Dumon stent placement, especially in spontaneously breathing young, healthy patients, needs to be considered.
Fumitomo Sato; Nobukazu Sato; Yoshinobu Hata; Aika Suzuki; Hidenori Goto; Hajime Otsuka; Ryoichi Ochiai; Keigo Takagi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of bronchology & interventional pulmonology     Volume:  19     ISSN:  1948-8270     ISO Abbreviation:  J Bronchology Interv Pulmonol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-12-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101496866     Medline TA:  J Bronchology Interv Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  345-8     Citation Subset:  IM    
Departments of *Chest Surgery †Anesthesiology, Toho University Omori Medical Center, Tokyo, Japan.
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