Negative Pressure Pulmonary Edema on Extubation of a 9-Month-Old Baby Boy

Agnes  Miller; Evan P.  Salant; Katerina  Svigos; Dennis E.  Feierman

doi:10.4236/ojanes.2015.55018

Dennis E. Feierman, Katerina Svigos, Evan P. Salant, Agnes Miller

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.

Keywords: Negative Pressure Pulmonary Edema, Extubation

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.

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