title: Complicated negative pressure pulmonary oedema in a child with cerebral palsy.
abstract: A 3-year-old child with cerebral palsy developed postextubation upper airway obstruction secondary to laryngospasm and/or masseteric spasm,which may have been triggered by the muscular spasticity and the slow recovery from inhalational anaesthesia associated with cerebral palsy. This upper airway obstruction was followed by negative pressure pulmonary oedema. The patient improved on mechanical ventilation; however, his condition was complicated with the occurrence of bilateral pneumothoraces. After release of the pneumothoraces and reexpansion of the lungs, the child developed reexpansion pulmonary oedema, culminating in acute lung injury.
authors.affiliation: Department of Anesthesiology, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Samar
authors.initials: S
authors.lastname: Taha
authors.forename: Tonine
authors.initials: T
authors.lastname: Bartelmaos
authors.forename: Chadi
authors.initials: C
authors.lastname: Kassas
authors.forename: Mohamad
authors.initials: M
authors.lastname: Khatib
authors.forename: Anis
authors.initials: A
authors.lastname: Baraka
mesh_terms: D002547:Cerebral Palsy / Q000150:complications*; D002675:Child, Preschool; D006801:Humans; D007442:Intubation, Intratracheal; D007826:Laryngismus / Q000150:complications; D008297:Male; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D011654:Pulmonary Edema / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography