Document Detail

Negative-pressure pulmonary edema: a rare complication of upper airway obstruction in children.
MedLine Citation:
PMID:  16280950     Owner:  NLM     Status:  MEDLINE    
CASE: A 2-year-old boy was scheduled for orchidopexy under general anesthesia. Shortly after an uneventful operation, the patient presented airway obstruction. Serious oxygen desaturation and bradycardia ensued, during inefficient attempts at positive-pressure ventilation. After emergency intubation, copious pink secretions emerged from the airway. Pulmonary edema was confirmed by clinical examination, pulse oximetry, and chest radiography. The finding of pulmonary edema was resolved within 24 hours after mechanical ventilation and positive end-expiratory pressure. The child suffered no sequelae. This report highlights the clinical features of negative-pressure pulmonary edema and serves as a reminder to the pediatrician who must be able to recognize and initiate treatment for conditions that are uncommon but life-threatening.
Paulo Sérgio Lucas da Silva; Henrique Monteiro Neto; Márcia Midori Takeuchi Andrade; Carla Vieira de Mattos Neves
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  21     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-10     Completed Date:  2006-08-09     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  751-4     Citation Subset:  IM    
Department of Pediatric Intensive Care Unit, Hospital Estadual de Diadema, Universidade Federal de São Paulo, São Paulo, Brazil.
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MeSH Terms
Airway Obstruction / complications*
Anoxia / etiology
Bradycardia / etiology
Child, Preschool
Device Removal
Exudates and Transudates
Hemorrhage / etiology
Intubation, Intratracheal / adverse effects
Laryngismus / complications*
Positive-Pressure Respiration
Postoperative Complications / etiology*
Pulmonary Edema / etiology*,  physiopathology,  therapy
Testis / surgery

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

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