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Negative pressure pulmonary edema after nasal fracture reduction in an obese female patient: a case report

Authors Choi E, Yi J, Jeon Y

Received 5 April 2015

Accepted for publication 14 May 2015

Published 19 August 2015 Volume 2015:8 Pages 169—171

DOI https://doi.org/10.2147/IMCRJ.S86099

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Ronald Prineas


Eunkyung Choi,1 Junggu Yi,1 Younghoon Jeon,2

1Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea; 2Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea

Abstract: Postoperative negative pressure pulmonary edema (NPPE) is a rare, but well-known life-threatening complication of acute upper airway obstruction (UAO) which develops after general anesthesia. The pronounced inspiratory efforts following UAO lead to excessive negative inspiratory pressure, which may cause acute pulmonary edema. Early recognition and prompt treatment of NPPE is necessary to prevent patient morbidity and mortality. In addition, the physician should carefully manage the patient who has risk factors of UAO to prevent this situation. We experienced a case of NPPE following laryngospasm after tracheal extubation in an obese patient who underwent open reduction of orbital wall and nasal bone surgery.

Keywords: airway obstruction, negative pressure pulmonary edema, laryngospasm, nasal surgery, obese

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