Back
 OJAnes  Vol.5 No.5 , May 2015
Negative Pressure Pulmonary Edema on Extubation of a 9-Month-Old Baby Boy
Abstract: Background: Negative Pressure Pulmonary Edema (NPPE) is an uncommon, but well recognized clinical entity that continues to be reported as a complication of upper airway obstructions during induction or emergence. It results from the negative intrathoracic pressure generated with spontaneous ventilation with concurrent upper airway obstruction. Aim: To present an unusual case of NPPE and review the pathophysiology and treatment. Case: It usually occurs in young healthy athletic adults. We are reporting NPPE in a nine-month-old ex-premature baby. We discuss his intraoperative events leading to NPPE, subsequent intraoperative course and treatment. Conclusion: NPPE needs to be promptly recognized and treated. If the edema resolves, the patient can be successfully extubated, but should be observed overnight.
Cite this paper: Feierman, D. , Svigos, K. , Salant, E. and Miller, A. (2015) Negative Pressure Pulmonary Edema on Extubation of a 9-Month-Old Baby Boy. Open Journal of Anesthesiology, 5, 93-95. doi: 10.4236/ojanes.2015.55018.
References

[1]   Krodel, D.J., Bittner, E.A., Abdulnour, R., Brown, R. and Eikermann, M. (2010) Case Scenario: Acute Postoperative Negative Pressure Pulmonary Edema. Anesthesiology, 113, 200-207.
http://dx.doi.org/10.1097/aln.0b013e3181e32e68

[2]   Hochberg, E.S. (2014) Adult Epiglottitis Complicated by Negative Pressure Pulmonary Edema. Journal of the American Academy of Physician Assistants, 27, 50-52.
http://dx.doi.org/10.1097/01.jaa.0000446991.94928.e2

[3]   Goldenberg, J.D., Portugal, L.G., Wenig, B.L. and Weingarten, R.T. (1997) Negative-Pressure Pulmonary Edema in the Otolaryngology Patient. Otolaryngology and Head and Neck Surgery, 117, 62-66.
http://dx.doi.org/10.1016/S0194-5998(97)70208-0

[4]   Fremont, R.D., Kallet, R.H., Matthay, M.A. and Ware, L.B. (2007) Postobstructive Pulmonary Edema: A Case for Hydrostatic Mechanisms. Chest, 131, 1742-1746.
http://dx.doi.org/10.1378/chest.06-2934

[5]   Rasheed, A., Palaria, U., Rani, D. and Sharma, S. (2014) A Case of Negative Pressure Pulmonary Edema in an Asthmatic Patient after Laparoscopic Cholecystectomy. Anesthesia Essays Research, 8, 86-88.
http://dx.doi.org/10.4103/0259-1162.128919

[6]   Shigematsu, H., Yoneda, M. and Tanaka, Y. (2014) Negative Pressure Pulmonary Edema Associated with Anterior Cervical Spine Surgery. Asian Spine Journal, 8, 827-830.
http://dx.doi.org/10.4184/asj.2014.8.6.827

[7]   Kaya, Z., Tuncez, A., Gok, U., Gul, E.E. and Altunbas, G. (2014) Negative Pressure Pulmonary Edema Following Septoplasty Surgery Triggering Acute Subendocardial Myocardial Infarction. Heart Views, 15, 46-48.
http://dx.doi.org/10.4103/1995-705X.137495

 
 
Top