Negative pressure pulmonary edema: report of three cases and review of the literature.
Pulmonary edema following the relief of an upper airway obstruction is an uncommon and unpredictable clinical entity. This unusual disease is actually attributed to pulmonary and hemodynamic changes engendered by high negative intrathoracic pressures during the state of obstructed respiration, such as laryngospasm, epiglottitis, laryngotracheal neoplasm, etc. In this article, we report three cases of negative pressure pulmonary edema (NPPE) developed after the operations of tracheotomy, adenoidectomy, and microlaryngeal surgery. The etiology, pathophysiology, diagnosis, management, and outcome of NPPE are also brought into further discussion.
Chuang
Yuan-Chieh
YC
Department of Otolaryngology, Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Cheng-Kung Road Section 2, Taipei, 114, Taiwan, Republic of China. uma55555@ms35.hinet.net
Wang
Chih-Hung
CH
Lin
Yaoh-Shiang
YS
D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis*; D005260:Female; D006801:Humans; D000860:Hypoxia; D007826:Laryngismus / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011312:Pressure; D011654:Pulmonary Edema / Q000175:diagnosis*; D013902:Radiography, Thoracic / Q000379:methods; D016896:Treatment Outcome