2012•胸腔醫學Requires access
Negative Pressure Pulmonary Edema (NPPE) Following Extubation from Laryngeal Mask Airway-Case Report
Yung-Tsung Hsiao, Wei‐Chih Liao, Chia‐Hung Chen, Chuen-Ming Shih, Wu‐Huei Hsu
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Abstract
Acute negative pressure pulmonary edema (NPPE) has been reported as an unpredictable but dangerous clinical event. Its occurrence is typically due to an upper airway obstruction related to laryngospasm. We herein present a case of acute NPPE related to laryngospasm in a healthy young male patient ventilated via laryngeal mask airway (LMA). The laryngospasm that the patient developed was most likely an outcome of stimulation associated with LMA extubation. A history of recent upper respiratory tract infection (URI) also may predispose to laryngospasm. The patient was successfully managed with diuretics and continuous positive airway pressure (CPAP).Clinicians should be aware of these complications when utilizing LMA. (Thorac Med 2012; 27: 112-116)