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14-10-2022 | Pulmonary Edema | Case Report

Negative-pressure pulmonary edema following maxillofacial surgery: recognize to prevent further complications

Authors: Becem Trabelsi, Azza Yedes, Ghada Kharrat, Hadhami Abdouli, Issam Mahouachi, Mohamed Ridha Saied, Mechaal Ben Ali

Published in: Oral and Maxillofacial Surgery | Issue 1/2024

Abstract

Negative-pressure pulmonary edema (NPPE) is a rare respiratory complication due to acute upper airway obstruction occurring shortly after extubation. We report a case of NPPE in young adult patient who underwent an eventful general anesthesia. The patient presented laryngospasm followed by acute respiratory distress with pink frothy sputum. The NPPE was initially misdiagnosed, and a preventable tracheostomy was performed. NPPE was managed with mechanical ventilation and diuretics, and the patient had full recovery. Every anesthesiologist should be aware of the diagnosis of NPPE. Early recognition and management are essential to prevent the morbidity associated with NPPE in young healthy patients.

Xiong J, Sun Y (2019) Negative pressure pulmonary edema: a case report. BMC Anesthesiol 19:63. https://doi.org/10.1186/s12871-019-0730-xCrossRefPubMedPubMedCentral

Oswalt CE, Gates GA, Holmstrom MG (1977) Pulmonary edema as a complication of acute airway obstruction. JAMA 238:1833–1835CrossRefPubMed

Udeshi A, Cantie SM, Pierre E (2010) Postobstructive pulmonary edema. J Crit Care 25:538.e1-538.e5. https://doi.org/10.1016/j.jcrc.2009.12.014CrossRef

Liu R, Wang J, Zhao G, Su Z (2019) Negative pressure pulmonary edema after general anesthesia: a case report and literature review. Medicine 98:e15389. https://doi.org/10.1097/MD.0000000000015389CrossRefPubMedPubMedCentral

Fremont RD, Kallet RH, Matthay MA, Ware LB (2007) Postobstructive pulmonary edema. Chest 131:1742–1746. https://doi.org/10.1378/chest.06-2934CrossRefPubMed

Lemyze M, Mallat J (2014) Understanding negative pressure pulmonary edema. Intensive Care Med 40:1140–1143. https://doi.org/10.1007/s00134-014-3307-7CrossRefPubMedPubMedCentral

Guffin T, Harel G, Sanders A et al (1995) Acute postobstructive pulmonary edema. Otolaryngol Head Neck Surg 112:235–237. https://doi.org/10.1016/S0194-5998(95)70242-3CrossRefPubMed

Bhattacharya M, Kallet RH, Ware LB, Matthay MA (2016) Negative-pressure pulmonary edema. Chest 150:927–933. https://doi.org/10.1016/j.chest.2016.03.043CrossRefPubMed

Liu P-Y, Shih M-L, Chen C-W (2012) Postobstructive pulmonary edema associated with a substernal goitre. CMAJ 184:2011–2014. https://doi.org/10.1503/cmaj.120256CrossRefPubMedPubMedCentral

Title: Negative-pressure pulmonary edema following maxillofacial surgery: recognize to prevent further complications
Authors: Becem Trabelsi
Azza Yedes
Ghada Kharrat
Hadhami Abdouli
Issam Mahouachi
Mohamed Ridha Saied
Mechaal Ben Ali
Publication date: 14-10-2022
Publisher: Springer Berlin Heidelberg
Keywords: Pulmonary Edema
Expectoration
Diuretics
Tracheostomy
Published in: Oral and Maxillofacial Surgery / Issue 1/2024
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-022-01122-6

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Springer Medicine

Negative-pressure pulmonary edema following maxillofacial surgery: recognize to prevent further complications

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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