title: [Post-tracheal extubation pulmonary oedema - case report].
abstract: Negative pressure pulmonary oedema is an uncommon complication of traqueal extubation (approximately 0,1%) mostly caused by acute upper airway obstruction. Upper airway obstruction from glottis closure leads to marked inspiratory effort, which generates negative intrathoracic pressure transmitting to pulmonary interstitium, and inducing fluid transudation from pulmonary capillary bed(1-5). We report a case of post-extubation pulmonary oedema in a fifteen years old patient, submitted to surgery following traumatic amputation of his left leg. We review the pathophysiology, radiological findings, potential risk factors and preventive measures of this post-anaesthetic respiratory complication.
authors.affiliation: Hospital de S. António dos Capuchos, Centro Hospitalar de Lisboa Central - EPE (CHLC - EPE).
authors.forename: Maria de Lurdes
authors.initials: Mde L
authors.lastname: Castro
authors.forename: Petra
authors.initials: P
authors.lastname: Chaves
authors.forename: Margarida
authors.initials: M
authors.lastname: Canas
authors.forename: Maria Leonor
authors.initials: ML
authors.lastname: Moedas
mesh_terms: D000293:Adolescent; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D011654:Pulmonary Edema / Q000209:etiology*