Negative Pressure Pulmonary Edema on Extubation of a 9-Month-Old Baby Boy

Dennis E. Feierman, Katerina Svigos, Evan P. Salant, Agnes Miller

Department of Anesthesiology, Maimonides Medical Center, New York, USA.

DOI: 10.4236/ojanes.2015.55018                

Abstract

Background: Negative Pressure Pulmonary Edema (NPPE) is an uncommon, but well recognized clinical entity that continues to be reported as a complication of upper airway obstructions during induction or emergence. It results from the negative intrathoracic pressure generated with spontaneous ventilation with concurrent upper airway obstruction. Aim: To present an unusual case of NPPE and review the pathophysiology and treatment. Case: It usually occurs in young healthy athletic adults. We are reporting NPPE in a nine-month-old ex-premature baby. We discuss his intraoperative events leading to NPPE, subsequent intraoperative course and treatment. Conclusion: NPPE needs to be promptly recognized and treated. If the edema resolves, the patient can be successfully extubated, but should be observed overnight.

Keywords

Negative Pressure Pulmonary Edema, Extubation

Conflicts of Interest

The authors declare no conflicts of interest.

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