Negative-pressure pulmonary edema: a rare complication of upper airway obstruction in children.

Abstract:

UNLABELLED:Negative-pressure pulmonary edema is a rare but life-threatening complication of upper airway obstruction. Because negative-pressure pulmonary edema may occur in a large spectrum of pathologies associated with upper airway obstruction, awareness of this condition is crucial during daily clinical practice. We report a case of negative-pressure pulmonary edema during anesthetic recovery to highlight this condition. 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.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Silva PS,Monteiro Neto H,Andrade MM,Neves CV

doi

10.1097/01.pec.0000186430.92388.a6

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

751-4

issue

11

eissn

0749-5161

issn

1535-1815

pii

00006565-200511000-00009

journal_volume

21

pub_type

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