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Omuro, Philipp Kazuo ORCID: 0009-0000-4907-1852, Sander, David and Hart, Dominique ORCID: 0009-0002-0360-1082 (2024). Severe postoperative negative pressure pulmonary edema: a case report. BMC Anesthesiology, 24 (1). pp. 1-5. Springer Nature. ISSN 1471-2253

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Abstract

[Artikel-Nr.: 397] Background: Postoperative negative pressure pulmonary edema (NPPE) can occur in any patient undergoing general anesthesia. There are several risk factors for it, especially postoperative laryngospasm. The disease is usually benign and quickly reversible. In our case the severity and need for advanced critical care therapy was unusual. Case: We report a severe case of postoperative negative pressure pulmonary edema in a 62-year-old male patient undergoing elective right-sided retroperitoneoscopic adrenalectomy. The patient developed a severe case of acute respiratory distress syndrome (ARDS) after postoperative laryngospasm, possibly in conjunction with a suspected anaphylactic reaction. The patient was consequently treated with a combination of invasive airway pressure release ventilation (APRV) and a prone positioning regimen. After drastic improvement in respiratory function, the patient was discharged from the intensive care unit after 10 days and from the hospital after 14 days. Conclusion: NPPE is a rare but relevant complication of anesthesia and laryngospasm. The disease can basically occur in any patient undergoing general anesthesia and therefore should be considered.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Omuro, Philipp Kazuo UNSPECIFIED https://orcid.org/0009-0000-4907-1852 UNSPECIFIED Sander, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Hart, Dominique UNSPECIFIED https://orcid.org/0009-0002-0360-1082 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-815968
Identification Number:	10.1186/s12871-024-02785-2
Journal or Publication Title:	BMC Anesthesiology
Volume:	24
Number:	1
Page Range:	pp. 1-5
Date:	1 November 2024
Publisher:	Springer Nature
ISSN:	1471-2253
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Anästhesiologie und Operative Intensivmedizin > Klinik für Anästhesiologie und Operative Intensivmedizin
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Laryngospasm ; Pulmonary edema ; Intraoperative complications ; ARDS ; APRV Ventilation Mode English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81596