[Acute pulmonary edema secondary to acute upper airway obstruction].
We report a 72 years old woman with mild arterial hypertension and no other pathological history who presented an acute pulmonary edema due to acute obstruction of the upper airway secondary to vocal chord paralysis developing during the immediate postoperative phase of thyroidectomy. The acute pulmonary edema resolved after application of tracheal reintubation, mechanical ventilation controlled with end expiratory positive pressure, diuretics, morphine, and liquid restriction. We discuss the possible etiopathogenic possibilities of this infrequent clinical picture and we suggest that all patients who suffered and acute obstruction of the upper airways require a careful clinical surveillance in order to prevent the development of the pulmonary syndrome.
Sánchez-Ortega
J L
JL
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Virgen de la Arrixaca, Murcia.
Carpintero-Moreno
F
F
Olivares-López
A
A
Borrás-Rubio
E
E
Alvarez-López
M J
MJ
García-Izquierdo
A
A
D000208:Acute Disease; D000368:Aged; D000402:Airway Obstruction / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D006801:Humans; D015994:Incidence; D009020:Morphine / Q000627:therapeutic use; D011175:Positive-Pressure Respiration; D011654:Pulmonary Edema / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D061226:Recurrent Laryngeal Nerve Injuries; D013965:Thyroidectomy / Q000009:adverse effects*; D014139:Tracheostomy; D014826:Vocal Cord Paralysis / Q000150:complications* / Q000453:epidemiology
D009020:Morphine; D005665:Furosemide
Edema agudo de pulmón secundario a la obstrucción aguda de la vía aérea superior.