Universität zu Köln

Thiel, M., Paulsen, J., Mayer, S. and Rasch, C. (2015). Negative pressure pulmonary edema. Review, case report and possible clinical relevance. Mon.schr. Kinderheilkd., 163 (7). S. 706 - 710. NEW YORK: SPRINGER. ISSN 1433-0474

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Abstract

This article presents the case of a 15-year-old boy undergoing laparoscopic appendectomy for phlegmonous appendicitis. During extubation a drop in arterial oxygen saturation (SaO2) occurred due to the boy biting on the tube. Radiologically, a pulmonary edema was suspected. Ventilation with continuous positive airway pressure (CPAP) and assisted spontaneous breathing (ASB) on the following day led to complete normalization of the patient's condition. The diagnosis of negative pressure pulmonary edema, a complication of acute and chronic obstruction of the upper airways was made. The pathophysiological mechanism of negative pressure pulmonary edema is the development of a pronounced negative (lower than the surrounding pressure) intrapleural pressure during inspiration against the closed glottis. The incidence is between 0.05 and 0.1 % but is probably much higher and the therapy is symptomatic.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Thiel, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Paulsen, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mayer, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rasch, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-399576
DOI:	10.1007/s00112-015-3360-5
Journal or Publication Title:	Mon.schr. Kinderheilkd.
Volume:	163
Number:	7
Page Range:	S. 706 - 710
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0474
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LARYNGOSPASM; INFANTS; CHILD Multiple languages Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39957