Complicated negative pressure pulmonary oedema in a child with cerebral palsy.
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.
Taha
Samar
S
Department of Anesthesiology, American University of Beirut Medical Center, Beirut, Lebanon.
Bartelmaos
Tonine
T
Kassas
Chadi
C
Khatib
Mohamad
M
Baraka
Anis
A
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