title: Negative pressure pulmonary oedema: a rare complication following general anaesthesia.
abstract: An important cause of pulmonary oedema is Negative Pressure Pulmonary Oedema (NPPE) which characteristically develops soon after extubation from an endo-tracheal intubation. In this case report we identified a case of previously healthy man who was intubated for General Anaesthesia for extraction of impacted molar tooth. Soon after extubation he developed severe respiratory distress. Immediate diagnosis of NPPE secondary to post extubation laryngospasm was made. He was promptly treated with 100 percent oxygen via CPAP (continuous positive airway pressure) mask and within an hour he markedly improved and subsequently became asymptomatic. NPPE is an important cause of morbidity and need for ICU admission in a healthy individual.
authors.affiliation: Section of Pulmonary & Critical Care Medicine, Department of Medicine, The Aga Khan University, Hospital, Karachi, Pakistan.
authors.forename: Zeeshan
authors.initials: Z
authors.lastname: Waheed
authors.forename: Javaid Ahmed
authors.initials: JA
authors.lastname: Khan
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D018681:Anesthetics, General; D045422:Continuous Positive Airway Pressure; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007826:Laryngismus / Q000150:complications*; D008297:Male; D011312:Pressure; D011654:Pulmonary Edema / Q000209:etiology* / Q000628:therapy; D014081:Tooth Extraction; D016896:Treatment Outcome
chemical_list: D018681:Anesthetics, General