scholarly journals Negative Pressure Pulmonary Edema- Case Series and Review of Literature

2012 ◽  
Vol 9 (4) ◽  
pp. 310-314 ◽  
Author(s):  
B Bhattarai ◽  
S Shrestha
Keyword(s):  
Pulmonary Edema ◽  
Negative Pressure ◽  
Case Series ◽  
Upper Airway ◽  
Residual Effects ◽  
Review Of Literature ◽  
Predisposing Factor ◽  
Negative Pressure Pulmonary Edema ◽  
Life Threatening ◽  
Life Threatening Complication

Post obstructive pulmonary edema (POPE) also known as Negative pressure pulmonary edema (NPPE)is potentially life threatening complication. It occurs in about 0.1% of anesthetics and is related to upper airway obstruction. Two types have been described in literature. Different etiology has been attributed to development of Negative pressure pulmonary edema. Early identification and treatment of predisposing factor along with proper monitoring of this complication early treatment should be instituted because resolution is also fast and in most cases without residual effects. DOI: http://dx.doi.org/10.3126/kumj.v9i4.6352 Kathmandu Univ Med J 2011;9(4):310-4

scholarly journals Concurrent Negative-Pressure Pulmonary Edema (NPPE) and Takotsubo Syndrome (TTS) after Upper Airway Obstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Evan Harmon ◽  
Sebastian Estrada ◽  
Ryan J. Koene ◽  
Sula Mazimba ◽  
Younghoon Kwon
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Takotsubo Syndrome ◽  
Negative Pressure Pulmonary Edema ◽  
Acute Airway Obstruction ◽  
Increased Risk ◽  
Life Threatening

Upper airway obstruction is a potentially life-threatening emergency often encountered in the acute care, perioperative, and critical care settings. One important complication of acute obstruction is negative-pressure pulmonary edema (NPPE). We describe two cases of acute upper airway obstruction, both of which resulted in flash pulmonary edema complicated by acute hypoxic respiratory failure. Though NPPE was suspected, these patients were also found to have Takotsubo syndrome (TTS). Neither patient had prior cardiac disease, and both subsequently had a negative ischemic workup. Because TTS is a condition triggered by hyperadrenergic states, the acute airway obstruction alone or in combination with NPPE was the likely explanation for TTS in each case. These cases highlight the importance of also considering cardiogenic causes of pulmonary edema in the setting of upper airway obstruction, which we suspect generates a profound catecholamine surge and places patients at increased risk of TTS development.

scholarly journals CT Findings in Negative Pressure Pulmonary Edema

Diagnostics ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 749 ◽  
Author(s):  
Adrien Holzgreve ◽  
Matthias P. Fabritius ◽  
Philippe Conter
Keyword(s):  
Pulmonary Edema ◽  
Negative Pressure ◽  
Recovery Period ◽  
Upper Airway ◽  
Ground Glass Opacity ◽  
Negative Pressure Pulmonary Edema ◽  
Ct Findings ◽  
Life Threatening ◽  
Perioperative Complication ◽  
Arthroscopic Knee

Negative pressure pulmonary edema (NPPE) is a rare, potentially life-threatening, and yet diagnostically challenging perioperative complication. Most cases of NPPE occur in the context of anesthetic procedures, mainly caused by upper airway obstruction, and are diagnosed during the recovery period. We present a case of fulminant NPPE in a patient during general anesthesia which illustrates the eye-catching CT findings that can occur in NPPE and eventually support diagnosis. With regard to the current pandemic, we include a discussion of the typical imaging patterns of COVID-19 as a radiological differential diagnosis of NPPE. A 42-year old male patient presented with sudden respiratory insufficiency during arthroscopic knee lavage and subsequently required highly invasive ventilation therapy and catecholamine administration. Postoperative CT imaging of the thorax exhibited extensive, centrally accentuated consolidations with surrounding ground-glass opacity in all lung lobes, suggestive of pulmonary edema. In view of the clinical course and the imaging findings, a negative pressure pulmonary edema (NPPE) was diagnosed.

scholarly journals Negative Pressure Pulmonary Edema as a Cause of Diffuse Alveolar Hemorrhage in the Newborn

2020 ◽  
Vol 10 (01) ◽  
pp. e212-e214
Author(s):  
Alejandro Donoso ◽  
Gianfranco Tomarelli ◽  
Daniela Arriagada
Keyword(s):  
Pulmonary Edema ◽  
Negative Pressure ◽  
Age Groups ◽  
Upper Airway ◽  
Diffuse Alveolar Hemorrhage ◽  
Alveolar Hemorrhage ◽  
Negative Pressure Pulmonary Edema ◽  
Refractory Hypoxemia ◽  
Life Threatening ◽  
Nitric Oxide Therapy

AbstractNegative pressure pulmonary edema (NPPE) is a rare entity that can become life threatening. Its development in neonates is very rare, and its presentation as alveolar hemorrhage is uncommon. We report a case of a newborn 23 days old, previously healthy, who presented an episode of choking during breastfeeding. This progressed to acute respiratory failure due to diffuse alveolar hemorrhage. A few hours after admission, the newborn developed refractory hypoxemia, requiring high-frequency oscillatory ventilation and nitric oxide therapy for 24 hours. NPPE was postulated as a diagnosis of exclusion. The newborn recovered completely. NPPE should always be considered in a case with recent obstruction of the upper airway, even in unusual age groups. Sometimes it can manifest as alveolar hemorrhage.

NEGATIVE PRESSURE PULMONARY EDEMA: CASE SERIES ANALYSIS.

2007 ◽  
Vol 55 (1) ◽  
pp. S252-S253
Author(s):  
Z. Mulkey ◽  
S. Yarbrough ◽  
C. Roongsritong ◽  
K. Nugent ◽  
M. Phy
Keyword(s):  
Pulmonary Edema ◽  
Negative Pressure ◽  
Case Series ◽  
Negative Pressure Pulmonary Edema ◽  
Series Analysis

scholarly journals A rare case of type II negative pressure pulmonary edema following extraction of inhaled peanuts in a 21-month-old boy

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110477
Author(s):  
Qin Li ◽  
Liang Zhou
Keyword(s):  
Pulmonary Edema ◽  
Negative Pressure ◽  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Upper Airway ◽  
Type Ii ◽  
Computed Tomographic ◽  
Negative Pressure Pulmonary Edema ◽  
Positive Airway Pressure Ventilation ◽  
The Right

To date, only one case of pediatric type II negative pressure pulmonary edema (NPPE) caused by removal of an endobronchial foreign body has been documented. We report another case of type II NPPE that developed after extraction of inhaled peanuts. A 21-month-old boy who presented with wheezing and intermittent cough for 1 month after eating peanuts was admitted to our department. A chest computed tomographic scan showed foreign bodies lodged in the right main bronchus. Fiberoptic bronchoscopy was performed, and three pieces of peanuts were removed. Fifteen minutes after this procedure, the child grew restless and started coughing with frothy pink sputum. Tachypnea and rales were observed. A chest radiograph showed patchy opacification in both lungs, especially in the right lower zone, leading to the diagnosis of type II NPPE. Intravenous furosemide and dexamethasone were immediately administered, followed by non-invasive continuous positive airway pressure ventilation. Twelve hours later, the patient recovered uneventfully and was discharged home the following day. In conclusion, pediatric type II NPPE rapidly occurs following the relief of upper airway obstruction. Clinicians need to be aware of the acuteness and manifestations of type II NPPE to make an early diagnosis and initiate prompt treatment.

scholarly journals Child Case with Negative Pressure Pulmonary Edema After Upper Airway Obstruction

2021 ◽  
Vol 35 (1) ◽  
pp. 113-116
Author(s):  
İkbal Türker ◽  
Rıza Dinçer Yıldızdaş ◽  
Ozden Ozgur Horoz ◽  
Faruk Ekinci
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Negative Pressure Pulmonary Edema
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