Postoperative pulmonary edema after lower thoracic spinal tumor surgery--a case report.
Cardiovascular instability is a common manifestation of spinal cord injury, especially if the upper thoracic or cervical spine is involved. Here we report a case of lower thoracic spinal tumor who developed acute pulmonary edema postoperatively at post-anesthesia room following surgery. This might be caused by injudicious fluid administration after trying to correct intraoperative hypotension due to neurogenic shock. Therefore, meticulous calculation in fluid resuscitation together with vasopressors or inotropics support is important in dealing with neurogenic shock. Comprehensive monitoring of hemodynamic parameters, such as with central venous catheter or pulmonary catheter in this sort of surgery should be established for drastic fluid management.
Ho
Ching-Cheng
CC
Division of Anesthesiology, Hualien Armed Forces General Hospital, Taiwan, ROC.
Kuo
Chang-Po
CP
Huang
Shun-Tsung
ST
Cherng
Chen-Hwan
CH
Yeh
Chun-Chang
CC
Wong
Chih-Shung
CS
Wu
Ching-Tang
CT
D000293:Adolescent; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D011654:Pulmonary Edema / Q000209:etiology*; D013125:Spinal Neoplasms / Q000601:surgery*; D013904:Thoracic Vertebrae