scholarly journals Negative pressure pulmonary edema: a case report

2019 ◽  
Author(s):  
Jun Xiong ◽  
Yongxing Sun
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Clinical Situation ◽  
Upper Airway Obstruction ◽  
Lung Field ◽  
Free T4 ◽  
Negative Pressure Pulmonary Edema ◽  
Obstructive Sleep

Abstract Background: The negative pressure pulmonary edema is rare clinical situation which caused mainly by upper airway obstruction. However the present case was without obvious upper airway obstruction, so we suspected there were other culprits combined with the mild upper airway obstruction to produce the negative pressure pulmonary edema. Case presentation: This case was a 5-year-old girl with tumor on saddle area, her hormones level were abnormal preoperatively, such as cortison, adrenocorticotrophic hormone, free T4 and total T4. During the stage of induction, negative pressure pulmonary edema took place due to the mild upper airway obstruction. And the instant chest Computer tomography proved the diagnosis. After intensive care, mostly lung field of the girl recovered to the normal within 48 hours. Conclusion: The patient with abnormal hormone levels is vulnerable to pulmonary edema, although there is no obvious upper airway obstruction. Thus pre-operation hormones supplement is as important as keeping the upper airway unobstructed. Keywords: Negative pressure pulmonary edema, hypocortisolism, hypothyroidea, obstructive sleep apnea.

scholarly journals Negative pressure pulmonary edema: a case report

2019 ◽  
Author(s):  
Jun Xiong ◽  
Yongxing Sun
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Clinical Situation ◽  
Upper Airway Obstruction ◽  
Lung Field ◽  
Free T4 ◽  
Case Presentation ◽  
Negative Pressure Pulmonary Edema

Abstract Background: The negative pressure pulmonary edema is rare clinical situation which caused mainly by upper airway obstruction. However except upper airway obstruction, there may be other pathophysiological disorders making patients more vulnerable to pulmonary edema. Based on these disorders, upper airway obstruction is the trigger to induce negative pressure pulmonary edema. Case presentation: This case was a 5-year-old girl with tumor on saddle area, her hormones level were abnormal preoperatively, such as cortisol, adrenocorticotrophic hormone, free T4 and total T4. During the stage of induction, negative pressure pulmonary edema took place due to mild upper airway obstruction. And the instant chest Computer tomography proved diagnosis clue. After intensive care, most lung field of this girl recovered to normal within 48 hours. Conclusion: The patient with abnormal hormone levels is vulnerable to pulmonary edema, mild upper airway obstruction triggered negative pressure pulmonary. Thus pre-operation hormones supplement is as important as keeping upper airway unobstructed.

scholarly journals Negative pressure pulmonary edema: a case report

2019 ◽  
Author(s):  
Jun Xiong ◽  
Yongxing Sun
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Clinical Situation ◽  
Upper Airway Obstruction ◽  
Lung Field ◽  
Free T4 ◽  
Case Presentation ◽  
Negative Pressure Pulmonary Edema

Abstract Background: The negative pressure pulmonary edema is rare clinical situation which caused mainly by upper airway obstruction. However except upper airway obstruction, there may be other pathophysiological disorders making patients more vulnerable to pulmonary edema. Based on these disorders, upper airway obstruction is the trigger to induce negative pressure pulmonary edema. Case presentation: This case was a 5-year-old girl with tumor on saddle area, her hormones level were abnormal preoperatively, such as cortisol, adrenocorticotrophic hormone, free T4 and total T4. During the stage of induction, negative pressure pulmonary edema took place due to mild upper airway obstruction. And the instant chest Computer tomography proved diagnosis clue. After intensive care, most lung field of this girl recovered to normal within 48 hours. Conclusion: The patient with abnormal hormone levels is vulnerable to pulmonary edema, mild upper airway obstruction triggered negative pressure pulmonary. Thus pre-operation hormones supplement is as important as keeping upper airway unobstructed.

scholarly journals Concurrent Negative-Pressure Pulmonary Edema (NPPE) and Takotsubo Syndrome (TTS) after Upper Airway Obstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Evan Harmon ◽  
Sebastian Estrada ◽  
Ryan J. Koene ◽  
Sula Mazimba ◽  
Younghoon Kwon
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Takotsubo Syndrome ◽  
Negative Pressure Pulmonary Edema ◽  
Acute Airway Obstruction ◽  
Increased Risk ◽  
Life Threatening

Upper airway obstruction is a potentially life-threatening emergency often encountered in the acute care, perioperative, and critical care settings. One important complication of acute obstruction is negative-pressure pulmonary edema (NPPE). We describe two cases of acute upper airway obstruction, both of which resulted in flash pulmonary edema complicated by acute hypoxic respiratory failure. Though NPPE was suspected, these patients were also found to have Takotsubo syndrome (TTS). Neither patient had prior cardiac disease, and both subsequently had a negative ischemic workup. Because TTS is a condition triggered by hyperadrenergic states, the acute airway obstruction alone or in combination with NPPE was the likely explanation for TTS in each case. These cases highlight the importance of also considering cardiogenic causes of pulmonary edema in the setting of upper airway obstruction, which we suspect generates a profound catecholamine surge and places patients at increased risk of TTS development.

scholarly journals Child Case with Negative Pressure Pulmonary Edema After Upper Airway Obstruction

2021 ◽  
Vol 35 (1) ◽  
pp. 113-116
Author(s):  
İkbal Türker ◽  
Rıza Dinçer Yıldızdaş ◽  
Ozden Ozgur Horoz ◽  
Faruk Ekinci
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Negative Pressure Pulmonary Edema

Negative pressure pulmonary edema after acute upper airway obstruction

1997 ◽  
Vol 9 (5) ◽  
pp. 403-408 ◽  
Author(s):  
Krishnaprasad Deepika ◽  
Charbel A. Kenaan ◽  
Alex M. Barrocas ◽  
Janett J. Fonseca ◽  
George B. Bikazi
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Negative Pressure Pulmonary Edema

Edema polmonare da pressione negativa dopo settoplastica in un adolescente

2021 ◽  
Vol 24 (5) ◽  
pp. 141-143
Author(s):  
Carmen Di Maria ◽  
Guido Prizio ◽  
Alessandro Triunfo ◽  
Flavio Quarantiello ◽  
Domenico Di Maria
Keyword(s):  
Patient Outcome ◽  
Early Detection ◽  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Intrathoracic Pressure ◽  
Upper Airway Obstruction ◽  
Main Mechanism ◽  
Negative Pressure Pulmonary Edema

Negative pressure pulmonary edema (NPPE) is a danger-ous and potentially fatal condition with a multifactorial pathogenesis. NPPE is frequently a manifestation of upper airway obstruction, indeed the large negative intrathoracic pressure generated by forced inspiration against an obstructed airway is thought to be the main mechanism involved. The early detection of the signs of this syndrome is vital to the treatment and to patient outcome. The paper presents a case of NPPE due to post-extubation laryngospasm in a 14-year-old patient.

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