[Pulmonary edema due to upper airway obstruction after extubation].
We report a patient who developed pulmonary edema due to airway obstruction after extubation. A 22-year-old man underwent removal of the nails for thoracoplasty under general anesthesia combined with epidural anesthesia. Upper airway obstruction occurred after extubation. SpO2 decreased to 70%. Insertion of an oral airway relieved the airway obstruction. However, inspiratory wheezing was heard over both lung fields. Chest X-ray taken 90 minutes after the event revealed pulmonary edema. Pulmonary edema gradually resolved after intravenous furosemide and oxygen inhalation by mask.
Kusumoto
Go
G
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
Shono
Shinjirou
S
Nitahara
Keiichi
K
Iwakiri
Shigenori
S
Higa
Kazuo
K
D000328:Adult; D000402:Airway Obstruction / Q000209:etiology* / Q000628:therapy; D005665:Furosemide / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D010102:Oxygen Inhalation Therapy; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
D005665:Furosemide