Negative-pressure pulmonary edema - A rare complication of upper airway obstruction in children

Negative-pressure pulmonary edema - A rare complication of upper airway obstruction in children

Autor Silva, PSL da Google Scholar
Neto, H. M. Google Scholar
Andrade, MMT Google Scholar
Neves, CVD Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo 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.
Palavra-chave laryngospasm
negative pressure
postobstructive
pulmonary edema
Idioma Inglês
Data de publicação 2005-11-01
Publicado em Pediatric Emergency Care. Philadelphia: Lippincott Williams & Wilkins, v. 21, n. 11, p. 751-754, 2005.
ISSN 0749-5161 (Sherpa/Romeo, fator de impacto)
Publicador Lippincott Williams & Wilkins
Extensão 751-754
Fonte http://dx.doi.org/10.1097/01.pec.0000186430.92388.a6
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000233369900009
Endereço permanente http://repositorio.unifesp.br/handle/11600/28540

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