Quiroga VH, Zanetta A

Language: Spanish
References: 12
Page: 144-149
PDF size: 209.20 Kb.

ABSTRACT

Introduction: Post-obstructive pulmonary edema (POPE) or by Negative Pressure, is a potentially fatal entity that develops immediately after a severe obstruction of the upper airway. Materials and methods: Description of a series of four cases of POPE in children, three of them secondary to foreign body aspiration and the remaining one as a complication of adenotonsillectomy. Discussion: The most common etiology of airway obstruction is laryngospasm associated to airway manipulation during intubation or airway surgery. Both adenotonsillectomy and removal of foreign bodies in the airway are one of the most common procedures in otorhinolaryngology practice for management of airway obstruction, however, they can potentially develop EPPO. Conclusion: Although airway foreign bodies in children usually present with sudden episode of choking, paroxysmal cough and/or respiratory distress, the likelihood of an unwitnessed foreign body aspiration event in the presence of unexplained pulmonary edema should also be considered. Although adenotonsillectomy is one of the most common surgeries in ENT practice, it can potentially be complicated by EPPO. We emphasize the importance of the otorhinolaryngologist keeping this condition in mind in children who present respiratory distress after any obstruction or surgical intervention of the airway

REFERENCES

1. Udeshi A, Cantie SM, Pierre E. Postobstructive pulmonaryedema. J Crit Care. 2010;25(3):508.e1-5. doi: 10.1016/j.jcrc.2009.12.014.

2. Sinha A, Sivanandan S, Ramesh P, Lodha R, Kabra SK. Postobstructive pulmonary edema in a child who attempted suicidalhanging. Indian J Pediatr. 2008;75(10):1075-7. doi: 10.1007/s12098-008-0091-9.

3. Mehta VM, Har-El G, Goldstein NA. Postobstructivepulmonary edema after laryngospasm in the otolaryngologypatient. Laryngoscope. 2006;116(9):1693-6. doi: 10.1097/01.mlg.0000231762.91541.3a.

4. Berdai AM, Labib S, Harandou M. Postobstructive pulmonaryedema following accidental near-hanging. Am J Case Rep.2013;14:350-3. doi: 10.12659/AJCR.889415.

5. Bhattacharya M, Kallet RH, Ware LB, Matthay MA. Negativepressurepulmonary edema. Chest. 2016;150(4):927-33. doi:10.1016/j.chest.2016.03.043.

6. García de Hombre AM, Cuffini A, Bonadeo A. Negative pressurepulmonary oedema after septoplasty. Acta OtorrinolaringolEsp. 2013;64(4):300-2. doi: 10.1016/j.otorri.2012.01.009.

7. Masuda A, Asano F, Tsuzuku A, Sobajima T, MurakamiA, Matsuno Y, et al. Postobstructive pulmonary edema thatdeveloped immediately after the removal of an endobronchialforeign body. Intern Med. 2015;54(5):497-502. doi: 10.2169/internalmedicine.54.3027.

8. Bashir A, Ahmad SQ, Silverman J, Concepcion E, Lee H.Post-obstructive pulmonary edema from aspirated nuts.SAGE Open Med Case Rep. 2017;5:2050313X17717391. doi:10.1177/2050313X17717391.

9. Rodríguez H, Cuestas G, Botto H, Nieto M, Cocciaglia A,Passali D, et al. Complications in children from foreign bodiesin the airway. Acta Otorrinolaringol Esp. 2016;67(2):93-101.doi: 10.1016/j.otorri.2015.01.003.

10. Bhaskar B, Fraser JF. Negative pressure pulmonary edemarevisited: Pathophysiology and review of management. SaudiJ Anaesth. 2011;5(3):308-13. doi: 10.4103/1658-354X.84108.

11. Castaño JE, Freiser ME, Ramadan HH. Complicationsfollowing inpatient extracapsular tonsillectomy in children36 months and younger. JAMA Otolaryngol Head Neck Surg.2016;142(3):270-3. doi: 10.1001/jamaoto.2015.3562.

12. Ringold S, Klein EJ, Del Beccaro MA. Postobstructivepulmonary edema in children. Pediatr Emerg Care.2004;20(6):391-5. doi: 10.1097/01.pec.0000133616.29238.5b.