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Journals / Tıp Araştırmaları Dergisi / 2012 / Cilt: 10 - Sayı: 2

Negatıve pressure pulmonary edema

Negatif basınçlı pulmoner ödem

Kasım TUZCU
EMİN SİLAY
Günhan GÖKAHMETOĞLU
Halis CANPOLAT
Pages
75–79
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this presentation, we aimed to discuss the negative pressure pulmonary edema which is a serious and life threatening complication of the upper airway obstruction.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Development of upper airway obstruction due to negative pressure pulmonary edema is not related to the heart.
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Key Findings & Data:It’s incidence is 0.0 94 %.
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Conclusion & Impact:In this presentation, we aimed to discuss the negative pressure pulmonary edema which is a serious and life threatening complication of the upper airway obstruction.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Development of upper airway obstruction due to negative pressure pulmonary edema is not related to the heart. It’s incidence is 0.0 94 %. Muscular young healthy men who can produce high negative intrapleural pressure are at risk. Laryngospasm is the most common cause of negative pressure pulmonary edema. The other causes negative pressure pulmonary edema are epiglottitis, croup, upper airway tumors, foreign body aspiration, drowning, tracheal secretions, hiccups, goitre, difficult intubation, hematoma, oropharyngeal surgery, obesity, obstructive sleep apnea, endotracheal tube bite and react. In this case obese female patient who was diagnosed as acute abdomen was taken to operating room under emergency conditions. Negative pressure pulmonary edema had developed after extubation period, depending on severe laryngospasm. To improve the patient’s oxygenisation she was re- intubated and PEEP was started as positive pressure mechanical ventilation. In follow up patient was extubated after pulmonary edema was resolved and arterial oxygen saturation at the post operative third hour. The patient were followed closely in the intensive care unit till recovery of respiration on the 12th postoperative hours and were transferred to the general surgery ward. In this presentation, we aimed to discuss the negative pressure pulmonary edema which is a serious and life threatening complication of the upper airway obstruction.

Özet

Negatif basınçlı pulmoner ödem (NBPÖ) üst havayolu tıkanıklığına bağlı olarak gelişen nonkardiyojenik bir pulmoner ödemdir. Görülme sıklığı % 0.094’dür. Genç, sağlıklı, yüksek negatif intraplevral basınç oluşturabilecek kas kütlesi fazla, erkek hastalar risk grubundadır. En sık nedeni laringospazm olan negatif basınçlı pulmoner ödem; krup, epiglottit, üst solunum yolu tümörleri, yabancı cisim aspirasyonları, boğulma, trakeal sekresyonlar, hıçkırık, guatr, zor entübasyon, hematom, orofaringeal cerrahi, obezite, obstrüktif uyku apnesi, endotrakeal tüpü ısırma ve reaksiyon verme gibi nedenlere bağlı olarak da gelişebilir. Bu olguda obeziteli kadın hasta akut batın ön tanısı ile acil koşullarda operasyona alındı. Ekstübasyon sonrası dakikalar içinde hastada şiddetli laringospazma bağlı olarak negatif basınçlı pulmoner ödem gelişti. Hastanın oksijenizasyonunu sağlamak için tekrar entübe edilerek PEEP uygulamalı pozitif basınçlı mekanik ventilasyon başlandı. Olgunun takibinde pulmoner ödemin çözülmesi ve arteriyel oksijen saturasyonunun düzelmesi ile postoperatif 3. saatte ekstübe edildi. Yoğun bakım ünitesinde yakın takip edilen hastanın solunumunun düzelmesi üzerine postoperatif 12. saatte genel cerrahi servisine devredildi. Bu sunumda üst havayolu tıkanıklığının sonrasında gelişen, ciddi ve potansiyel olarak hayatı tehdit edici bir komplikasyon olan NBPÖ’yü tartışmayı amaçladık.

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Cite This Article

TUZCU, K., SİLAY, E., GÖKAHMETOĞLU, G., CANPOLAT, H. (2012). Negatıve pressure pulmonary edema. Tıp Araştırmaları Dergisi, Cilt: 10 - Sayı: 2, 75–79. https://ajindex.com/articles/361713

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