| English |
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| Title | Negative Pressure Pulmonary Edema Occurring Immediately after Tracheal Extubation |
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| Subtitle | |
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| Authors | Ryu Okutani, Daisuke Arashi, Yukiko Miura, Yuki Kinishi |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, Osaka City General Hospital and Children's Hospital |
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| Journal | Circulation Control |
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| Volume | 31 |
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| Number | 2 |
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| Page | 143-146 |
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| Year/Month | 2010/10 |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control in Medicine |
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| Abstract | 「Abstract」A 65-year-old man underwent a partial hepatectomy for metastatic liver cancer, with no marked changes in hemodynamic or respiratory status. However, severe respiratory insufficiency developed immediately after extubation. Chest radiography showed a butterfly shadow and frothy sputum was suctioned from the tracheal tube on reintubation, and acute pulmonary edema was diagnosed. When acute pulmonary edema occurs immediately after extubation, chest radiography and echocardiography must be performed first to distinguish between cardiogenic and non-cardiogenic pulmonary edema, because of the different potential underlying causes and treatments. In this patient, a cardiogenic cause was ruled out, and we concluded that upper airway obstruction and excessive negative intrathoracic pressure led to pulmonary edema. 「Introduction」When acute pulmonary edema occurs, differential diagnosis between cardiogenic and non-cardiogenic pulmonary edema is crucial. Cardiogenic pulmonary edema may be due to myocardial infarction, aortic dissection, or acute renal failure, and urgent treatment is usually necessary. |
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| Practice | Basic medicine |
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| Keywords | negative pressure pulmonary edema; extubation, anesthetic complication |
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