title: Negative pressure pulmonary oedema after septoplasty.
abstract: Negative pressure pulmonary oedema (NPPO) is an anaesthetic complication due to acute obstruction of the upper airway, whose main cause is laryngospasm. The pathophysiology involves a strong negative intrapleural pressure during inspiration against a closed glottis, which triggers excessive pressure in the pulmonary microvasculature. Although its diagnosis can be difficult, its recognition helps to minimise morbidity and mortality. This article presents a case of NPPO due to postextubation laryngospasm.
authors.affiliation: Servicio de Otorrinolaringología, Hospital General de Fuerteventura, Puerto del Rosario, Las Palmas, España. gdehombre@telefonica.net
authors.forename: Alina M
authors.initials: AM
authors.lastname: García de Hombre
authors.forename: Alejandro
authors.initials: A
authors.lastname: Cuffini
authors.forename: Alejandro
authors.initials: A
authors.lastname: Bonadeo
mesh_terms: D000328:Adult; D006801:Humans; D007826:Laryngismus / Q000150:complications*; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D011312:Pressure; D011654:Pulmonary Edema / Q000209:etiology* / Q000503:physiopathology; D012225:Rhinoplasty / Q000009:adverse effects*