title: [Acute pulmonary edema due to airway obstruction during postanesthetic recovery].
abstract: We report a postanesthetic complication that has not been described in the literature. A 22-year-old man (ASA 1) developed acute pulmonary edema on awakening from balanced anesthesia for scheduled sagittal mandibular ramus osteotomy and implantation of a paranasal graft. We discuss the role of airway obstruction, which can generate high intrathoracic negative pressures and lead to acute pulmonary edema. We also review the differential diagnosis of possible causes of acute pulmonary edema during the postanesthetic recovery. The postoperative course in this case was good.
authors.affiliation: División de Anestesiología del Hospital Central "Dr. Ignacio Morones Prieto", San Luis de Potosí, México. fromosalas@yahoo.com.mx
authors.forename: E
authors.initials: E
authors.lastname: Romo-Salas
authors.forename: J
authors.initials: J
authors.lastname: Martínez-Bañuelos
authors.forename: K A
authors.initials: KA
authors.lastname: Aguilar-Vidales
mesh_terms: D000208:Acute Disease; D000402:Airway Obstruction / Q000150:complications* / Q000503:physiopathology; D000762:Anesthesia Recovery Period; D003131:Combined Modality Therapy; D045422:Continuous Positive Airway Pressure; D004077:Digoxin / Q000627:therapeutic use; D005665:Furosemide / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000601:surgery; D019340:Osteotomy, Le Fort; D010102:Oxygen Inhalation Therapy; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology*; D011187:Posture; D011312:Pressure; D019919:Prosthesis Implantation; D011654:Pulmonary Edema / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D012225:Rhinoplasty; D055815:Young Adult
chemical_list: D004077:Digoxin; D005665:Furosemide