A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema
Yıl: 2022 Cilt: 11 Sayı: 2 Sayfa Aralığı: 69 - 72 Metin Dili: İngilizce DOI: 10.5505/respircase.2022.56823 İndeks Tarihi: 19-07-2022
A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema
Öz: We report here on the successful management of a
patient who developed dyspnea after an elective
arthroscopic procedure and who was diagnosed with
Negative Pressure Pulmonary Edema (NPPE). A 29-
year-old male patient with no known medical history
was admitted to our hospital due to a rotator cuff tear
sustained during a military operation. An arthroscopic
procedure under general anesthesia was performed;
however, the patient developed dyspnea 2 hours after
extubation. He was desaturated, tachypneic and
began to produce frothy pink sputum. Pulmonary
computed-tomography angiography revealed widespread
ground-glass opacities in both lungs suggesting
non-cardiogenic pulmonary edema without acute
pulmonary thromboembolism. The patient was thus
diagnosed with NPPE and treated with non-invasive
mechanical ventilation, intravenous furosemide and
inhaled short-acting beta-agonists. Significant recovery
was observed in a couple of days, and the patient
discharged after his respiratory symptoms abated.
NPPE should immediately be suspected in individuals
who develop respiratory failure following extubation,
as it can be life threatening.
Anahtar Kelime: Solunum Yetmezliğinin Nadir Bir Nedeni: Negatif Basınçlı Pulmoner Ödem
Öz: Bu olgu sunumunda, elektif artroskopik işlem sonrası
nefes darlığı gelişen, negatif basınçlı pulmoner ödem
(NBPÖ) tanısı konan ve başarıyla tedavi edilen bir
hasta sunulmuştur. Yirmi dokuz yaşında, herhangi bir
tıbbi öyküsü olmayan erkek hasta, askeri operasyon
sırasında gelişen rotator manşet yırtığı nedeniyle
hastanemize başvurdu. Genel anestezi altında artroskopik
işlem yapıldı. Ancak hastada ekstübasyondan 2
saat sonra dispne gelişti. Hastada satürasyon düşüklüğü
ve takipne ile birlikte ve köpüklü pembe balgam
görüldü. Bilgisayarlı tomografi pulmoner anjiyografide
tromboemboli saptanmayıp, her iki akciğerde
kardiyojenik olmayan pulmoner ödem düşündüren
yaygın buzlu cam opasiteleri saptandı. Hasta NBPÖ
tanısı konularak invazif olmayan mekanik ventilasyon,
intravenöz furosemid ve inhale kısa etkili betaagonistler
ile tedavi edildi. Birkaç gün içinde belirgin
bir iyileşme görülen hasta herhangi bir solunum
semptomu olmadan taburcu edildi. Ekstübasyon
sonrası solunum yetmezliği gelişen kişilerde hayatı
tehdit edici bir tablo olan NBPÖ akla gelmelidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | Sayınalp B, Uyaroğlu O (2022). A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. , 69 - 72. 10.5505/respircase.2022.56823 |
| Chicago | Sayınalp Başak,Uyaroğlu Oğuz Abdullah A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. (2022): 69 - 72. 10.5505/respircase.2022.56823 |
| MLA | Sayınalp Başak,Uyaroğlu Oğuz Abdullah A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. , 2022, ss.69 - 72. 10.5505/respircase.2022.56823 |
| AMA | Sayınalp B,Uyaroğlu O A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. . 2022; 69 - 72. 10.5505/respircase.2022.56823 |
| Vancouver | Sayınalp B,Uyaroğlu O A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. . 2022; 69 - 72. 10.5505/respircase.2022.56823 |
| IEEE | Sayınalp B,Uyaroğlu O "A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema." , ss.69 - 72, 2022. 10.5505/respircase.2022.56823 |
| ISNAD | Sayınalp, Başak - Uyaroğlu, Oğuz Abdullah. "A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema". (2022), 69-72. https://doi.org/10.5505/respircase.2022.56823 |
| APA | Sayınalp B, Uyaroğlu O (2022). A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. Respiratory Case Reports, 11(2), 69 - 72. 10.5505/respircase.2022.56823 |
| Chicago | Sayınalp Başak,Uyaroğlu Oğuz Abdullah A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. Respiratory Case Reports 11, no.2 (2022): 69 - 72. 10.5505/respircase.2022.56823 |
| MLA | Sayınalp Başak,Uyaroğlu Oğuz Abdullah A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. Respiratory Case Reports, vol.11, no.2, 2022, ss.69 - 72. 10.5505/respircase.2022.56823 |
| AMA | Sayınalp B,Uyaroğlu O A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. Respiratory Case Reports. 2022; 11(2): 69 - 72. 10.5505/respircase.2022.56823 |
| Vancouver | Sayınalp B,Uyaroğlu O A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. Respiratory Case Reports. 2022; 11(2): 69 - 72. 10.5505/respircase.2022.56823 |
| IEEE | Sayınalp B,Uyaroğlu O "A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema." Respiratory Case Reports, 11, ss.69 - 72, 2022. 10.5505/respircase.2022.56823 |
| ISNAD | Sayınalp, Başak - Uyaroğlu, Oğuz Abdullah. "A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema". Respiratory Case Reports 11/2 (2022), 69-72. https://doi.org/10.5505/respircase.2022.56823 |
