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Paper Information

Journal:   JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE   2004 , Volume 25 , Number 46; Page(s) 63 To 68.
 
Paper: 

IMMEDIATE NEGATIVE PRESSURE PULMONARY EDEMA IN A PATIENT FOLLOWING CATARACT SURGERY

 
 
Author(s):  MAHJOUBIFARD M.*
 
* 
 
Abstract: 
Non cardiac pulmonary edema which is known as pulmonary edema with negative pressure (NPPE) during airway anesthesia is caused by upper airway obstruction due to laryngospasm. This problem happened for a patient who was anesthtized for cataract surgery.A 60 y/o male who was candidate for cataract extraction, after induction of anesthesia was found to have an unpredictable difficult intubation because of anterior position of the larynx. At the end of operation, immediately after extraction of endotracheal tube, severe laryngospasm with copious amounts of pink foamy secretions was developed. Supportive measures including reintubation and mechanical ventilation were performed and the patient was admitted in the ICD and supportive ventilation was started. Successful weaning was done after two days and the patient was extubated.NPPE is non cardiogenic pulmonary edema which is caused by a negative intrathoracic pressure due to upper airway obstruction which causes shifting of fluid to the interstitial lung space. Signs and symptoms includs tachypnea, shortness of breath, production of copious amounts of pink, foamy secretions and decreased arterial oxygen saturation. Great degree of suspicious is very important for its diagnosis. Our patient undergone immediate supportive managements including establishment of airway, medical management, complete monitoring, and ventilatory support in intensive care unit. 2 days later weaning and extubation was done successfully
 
Keyword(s): NEGATIVE PRESSURE PULMONARY EDEMA, AIRWAY OBSTRUCTION, LARYNGOSPASM
 
 
References: 
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Citations: 
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+ Click to Cite.
APA: Copy

MAHJOUBIFARD, M. (2004). IMMEDIATE NEGATIVE PRESSURE PULMONARY EDEMA IN A PATIENT FOLLOWING CATARACT SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 25(46), 63-68. https://www.sid.ir/en/journal/ViewPaper.aspx?id=20113



Vancouver: Copy

MAHJOUBIFARD M.. IMMEDIATE NEGATIVE PRESSURE PULMONARY EDEMA IN A PATIENT FOLLOWING CATARACT SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE. 2004 [cited 2021December05];25(46):63-68. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=20113



IEEE: Copy

MAHJOUBIFARD, M., 2004. IMMEDIATE NEGATIVE PRESSURE PULMONARY EDEMA IN A PATIENT FOLLOWING CATARACT SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, [online] 25(46), pp.63-68. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=20113.



 
 
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