Korean J Anesthesiol.  2000 Oct;39(4):606-610. 10.4097/kjae.2000.39.4.606.

Non-invasive Positive Pressure Ventilation for Pulmonary Edema in Kidney Transplanted Patient

• Lim JW
• Lee KM
• Lim HK
• Kim SY
• Lee YB
• Choi JC

• KMID: 2031625
• DOI: http://doi.org/10.4097/kjae.2000.39.4.606

Abstract

Non-invasive positive pressure ventilation (NIPPV) was mainly applied to acute respiratory failure in chronic obstructive pulmonary disease (COPD) and to intrinsic lung disease such as neuromuscular disorders. It has been reported that this maneuver reduces morbidity, mortality and hospital stay in patients in the intensive care unit. We observed a 32-year-old female renal transplantation patient who developed pulmonary edema during the perioperative state. The mainteance of an endotracheal tube in intubated patients who were on immunosuppresive therapy might increase nosocomial pneumonia significantly. In this case, the mortality increase was expected, therefore we considered that early extubation and mask continuous positive airway pressure (mask CPAP) could help. By using mask CPAP, the patient showed a good response and the pulmonary edema was improved. We report a case about the benefits of NIPPV in the treatment of pulmonary edema in an immunosuppressed patient of which the result was very satisfactory.

Keyword

Complication: pulmonary; edema. Transplantation: kidney; Ventilation: continuous positive airway pressure; mask

MeSH Terms

Adult
Continuous Positive Airway Pressure
Female
Humans
Intensive Care Units
Kidney Transplantation
Kidney*
Length of Stay
Lung Diseases
Masks
Mortality
Pneumonia
Positive-Pressure Respiration*
Pulmonary Disease, Chronic Obstructive
Pulmonary Edema*
Respiratory Insufficiency