García de Hombre AM, Cuffini A, Bonadeo A. Negative pressure pulmonary oedema after septoplasty.
ACTA OTORRINOLARINGOLOGICA ESPANOLA 2012;
64:300-2. [PMID:
22465189 DOI:
10.1016/j.otorri.2012.01.009]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2011] [Revised: 12/28/2011] [Accepted: 01/02/2012] [Indexed: 10/28/2022]
Abstract
Negative pressure pulmonary oedema (NPPO) is an anaesthetic complication due to acute obstruction of the upper airway, whose main cause is laryngospasm. The pathophysiology involves a strong negative intrapleural pressure during inspiration against a closed glottis, which triggers excessive pressure in the pulmonary microvasculature. Although its diagnosis can be difficult, its recognition helps to minimise morbidity and mortality. This article presents a case of NPPO due to postextubation laryngospasm.
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