title: [Negative pressure pulmonary oedema and haemorrhage].
abstract: BACKGROUND
  Pulmonary haemorrhage due to negative airway pressure is a very rare but potentially fatal complication of general anaesthesia. Only a few such cases have been reported in the literature.
  
  
  METHODS
  A previously healthy, 25-year-old man underwent general anaesthesia for internal stabilisation of a fractured clavicle. Shortly after extubation, he developed laryngospasm followed by pulmonary bleeding and acute respiratory failure. A CT-scan revealed acute pulmonary oedema. The patient was treated with mechanical ventilation and recovered completely after 72 hours.
  
  
  CONCLUSIONS
  This rare complication may occur unexpectedly during routine anaesthesia. The rapid recognition and management of laryngospasm is essential.
authors.affiliation: Oddziat Anestezjologii i Intensywnej Terapii, Samodzielny Publiczny Wojewódzki Szpital Chirurgii Urazowej, Piekary Slaskie. sekretariat@urazowka.piekary.pl
authors.forename: Jacek
authors.initials: J
authors.lastname: Majewski
authors.forename: Ewa
authors.initials: E
authors.lastname: Górnik-Właszczuk
authors.forename: Bogdan
authors.initials: B
authors.lastname: Koczy
authors.forename: Rafał
authors.initials: R
authors.lastname: Szczygieł
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D006801:Humans; D007826:Laryngismus / Q000209:etiology*; D008297:Male; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011859:Radiography; D035583:Rare Diseases; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology*