Pulmonary edema and lung injury after severe laryngospasm.
A young male with no pre-operative medical illness underwent corrective surgery for a deviated nasal septum under general anesthesia. At the end of surgery, patient was extubated but went into severe laryngospasm that did not improve with gentle Intermittent Positive Pressure Ventilation (IPPV) and small dose of Suxamethonium. As the situation worsened and patient developed severe bradycardia and de-saturation, re-intubation was done that revealed pink froth in the endotracheal tube. His portable chest X-ray was suggestive of non-cardiogenic pulmonary edema. With an overnight supportive treatment, using mechanical ventilation with Positive End-Expiratory Pressure (PEEP), morphine infusion and frusemide, patient improved and was subsequently weaned off from ventilator.
Siddiqui
Rashad
R
Department of Classified Anesthesiology, CMH, Bahawalpur. r4rashad@gmail.com
Khalique
Khalid
K
Khan
Muhammad Azmat
MA
Amin
Muhammad Umar
MU
D000328:Adult; D000762:Anesthesia Recovery Period; D020878:Device Removal / Q000009:adverse effects; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007826:Laryngismus / Q000209:etiology* / Q000628:therapy; D008297:Male; D011654:Pulmonary Edema / Q000209:etiology*; D012128:Respiratory Distress Syndrome / Q000209:etiology*