TITLE:
Negative Pressure Pulmonary Edema on Extubation of a 9-Month-Old Baby Boy
AUTHORS:
Dennis E. Feierman, Katerina Svigos, Evan P. Salant, Agnes Miller
KEYWORDS:
Negative Pressure Pulmonary Edema, Extubation
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.5 No.5,
May
21,
2015
ABSTRACT: Background: Negative Pressure Pulmonary Edema (NPPE) is an uncommon, but well recognized clinical entity that continues to be reported as a complication of upper airway obstructions during induction or emergence. It results from the negative intrathoracic pressure generated with spontaneous ventilation with concurrent upper airway obstruction. Aim: To present an unusual case of NPPE and review the pathophysiology and treatment. Case: It usually occurs in young healthy athletic adults. We are reporting NPPE in a nine-month-old ex-premature baby. We discuss his intraoperative events leading to NPPE, subsequent intraoperative course and treatment. Conclusion: NPPE needs to be promptly recognized and treated. If the edema resolves, the patient can be successfully extubated, but should be observed overnight.