Korean J Thorac Cardiovasc Surg.
2007 Apr;40(4):313-316.
Post-extubation Negative Pressure Pulmonary Edema Complicating Partial Rib Resection: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, The Catholic University of Korea, Korea. ebstein8@hitel.net
- 2Department of Anesthesiology, St. Vincent's Hospital, The Catholic University Korea, Korea.
Abstract
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Negative pressure pulmonary edema (NPPE) during anesthetic recovery is a rare, but potentially serious complication for patients who are undergoing different surgical procedures. The proposed mechanism is the generation of high negative pressure during markedly respiratory effort and upper airway obstruction from glottis closure and laryngospasm, and this all leads to pulmonary edema. We report here on a case of a healthy 26-year-old male who immediately developed NPPE and hemoptysis following extubation after partial rib resection due to benign rib tumor; the patient was treated conservatively. We also include a review of the review literatures.