Korean J Otorhinolaryngol-Head Neck Surg.
2008 Feb;51(2):194-197.
A Case of Postobstructive Pulmonary Edema Following Tracheotomy
- Affiliations
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- 1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. yhpark7@catholic.ac.kr
- 2Department of Anesthesia and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Postobstructive pulmonary edema is a recognized complication of acute airway obstruction, especially after endotracheal extubation. It usually follows relief of the obstruction and is likely to be of non- cardiogenic origin. The mechanism by which an upper airway obstruction results in pulmonary edema is likely by the combination of the increased reduction of intrapulmonary pressure, increased capillary permeability and hypoxia. The application of moderate continuous positive airway pressure in conjunction with the administration of diuretics usually clears pulmonary edema in these clinical settings within 24 hours. We encountered a rare case of a 47-years-old female with a postobstructive pulmonary edema that occurred in a patient after relief of upper airway obstruction following intubation of the trachea
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