Guillen OFC, Galván LFB, Medrano MA, Díaz BA

Language: Spanish
References: 3
Page: 172-174
PDF size: 200.88 Kb.

ABSTRACT

Acute negative pressure pulmonary edema (ANPPE) post-extubation, non-cardiogenic pulmonary edema, arises from negative intrathoracic pressure during forced spontaneous inspiration against a closed airway. Common in difficult intubations in healthy males, its incidence post-extubation is 0.1-0.9%. A 47-year-old female with no medical history underwent uneventful intubation for endourological surgery. Two hours after extubation, she exhibited respiratory distress, tachypnea, and desaturation (< 70%). Despite negative cardiac imaging, chest X-ray revealed pulmonary edema. Treatment involved a high-flow nasal cannula, loop diuretics, B agonists, and pulmonary therapy, resulting in a satisfactory recovery.

REFERENCES

1. Ware LB, Matthay MA. Acute pulmonary edema. N Engl J Med. 2005; 353 (26): 2788-2796. Available in: http://dx.doi.org/10.1056/nejmcp052699

2. Lemyze M, Mallat J. Understanding negative pressure pulmonary edema. Intensive Care Med. 2014; 40 (8): 1140-1143. Available in: http://dx.doi.org/10.1007/s00134-014-3307-7

3. Ma J, Liu T, Wang Q, Xia X, Guo Z, Feng Q et al. Negative pressure pulmonary edema (Review). Exp Ther Med. 2023; 26 (3): 455. Available in: http://dx.doi.org/10.3892/etm.2023.12154