Care of the arthroscopy patient with noncardiogenic pulmonary edema.
A young athlete is unexpectedly admitted to an orthopaedic unit after routine arthroscopic knee surgery with the following diagnosis: noncardiogenic pulmonary edema related to postextubation laryngospasm. This emergent condition, which may be life-threatening due to rapid changes in intrathoracic, alveolar, and interstitial pressures, requires immediate, aggressive treatment. With proper intervention, laryngospasm-induced noncardiogenic pulmonary edema becomes a self-limiting process, and full recovery may occur within 48 hours of the initial insult to the lungs. This article presents a case study of a patient with this condition, including the initial and subsequent interventions that were provided. The pathophysiologic responses and clinical manifestations of laryngospasm and noncardiogenic pulmonary edema are addressed, followed by a suggested course of treatment.
Mamaril
M E
ME
Inpatient and Outpatient PACU, St. Joseph Medical Center, Towson, Maryland, USA.
Zeltt
K E
KE
D000293:Adolescent; D001182:Arthroscopy; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007826:Laryngismus / Q000209:etiology / Q000451:nursing*; D008297:Male; D016530:Orthopedic Nursing; D011654:Pulmonary Edema / Q000209:etiology / Q000451:nursing*