[Acute non-cardiogenic pulmonary edema secondary to upper airway obstruction. Clinical case].
Noncardiogenic pulmonary edema is a well recognized complication of upper airway obstruction. We report the case of a previously healthy 18-year-old male who presented this complication following laryngospasm after anesthesia. He developed severe pulmonary edema with hypoxemia, high cardiac output and low pulmonary capillary pressures. He was managed with mechanical ventilation and PEEP. Pulmonary edema resolved within 24 hours. The clinical picture, etiology, differential diagnosis and prevention are also discussed.
Cherres
O
O
Departamento de Anestesiología, Hospital Clínico de la Pontificia Universidad Católica de Chile.
Bugedo
G
G
Torregrosa
S
S
Coloma
R
R
De la Fuente
J
J
D000208:Acute Disease; D000293:Adolescent; D000402:Airway Obstruction / Q000150:complications*; D001062:Appendectomy; D003937:Diagnosis, Differential; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007826:Laryngismus / Q000150:complications*; D008297:Male; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications / Q000209:etiology; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012121:Respiration, Artificial
Edema pulmonar agudo no cardiogénico secundario a obstrucción de vía aérea alta. Caso clínico.