Negative pressure pulmonary edema due to laryngospasm after cochlear implant revision surgery

Koklear implant revizyon cerrahisi sonrası laringospazma bağlı negatif basınçlı pulmoner ödem

Authors

  • Gizem Uçar UZM. DR.
  • Bahattin Tuncalı Başkent Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Ankara, Türkiye

Keywords:

Genel anestezi, laringospazm, akciğer ödemi, non-invazif ventilasyon, General anesthesia, laryngospasm, pulmonary edema, non-invasive ventilation

Abstract

ÖZET:

Negatif basınçlı pulmoner ödem (NBPÖ), akut üst havayolu obstrüksiyonuna karşı yapılan zorlu inspirasyon ya da kronik üst havayolu obstrüksiyonunun ani rahatlaması sonucunda gelişebilen bir non-kardiyojenik pulmoner ödemdir. Çoğunlukla genel anestezi alan erişkin erkeklerde görülen ve ekstübasyon sonrası laringospazm ya da endotrakeal tüpün ısırılması sonucu gelişen bir komplikasyondur. Bu olgu sunumu ile genel anestezi sonrasında laringospazma bağlı NBPÖ gelişen ve yoğun bakımda non invazif ventilasyon ile tedavi edilen olgudaki deneyimimizin paylaşılması amaçlanmıştır.

ABSTRACT

Negative pressure pulmonary edema (NPPE) is a non-cardiogenic pulmonary edema that may develop as a result of forced inspiration against acute upper airway obstruction or sudden relief of chronic upper airway obstruction. It is a complication, mostly seen in adult men receiving general anesthesia and develops as a result of laryngospasm after extubation or biting of the endotracheal tube. With this case report, it is aimed to share our experience in a patient who developed NPPE due to laryngospasm after general anesthesia and was treated with non-invasive ventilation in the intensive care unit.

 

 

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Published

2023-01-17

Issue

Section

Articles