title: Delayed presentation: negative pressure pulmonary hemorrhage.
abstract: Negative pressure pulmonary hemorrhage (NPPH) is a rare, life-threatening complication that develops after an acute upper airway obstruction. A 26 year old, healthy African-American man with no underlying lung disease developed negative pressure pulmonary edema and subsequently NPPH during recovery from general anesthesia for elective spine surgery. Diagnostic bronchoscopy confirmed an alveolar source of the bleeding. Clinical improvement was quick with supportive care in the medical intensive care unit.
authors.affiliation: Department of Pulmonary, Critical Care and Sleep Medicine, University of New Mexico, Albuquerque, NM 87131, USA. asaeed@salud.unm.edu
authors.forename: Ali Imran
authors.initials: AI
authors.lastname: Saeed
authors.forename: Chris
authors.initials: C
authors.lastname: Quintana
authors.forename: Franklin R
authors.initials: FR
authors.lastname: McGuire
authors.forename: James A
authors.initials: JA
authors.lastname: Barker
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000150:complications*; D000768:Anesthesia, General / Q000379:methods; D001999:Bronchoscopy / Q000379:methods; D017558:Elective Surgical Procedures / Q000379:methods; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D011650:Pulmonary Alveoli / Q000473:pathology; D011654:Pulmonary Edema / Q000209:etiology*; D013124:Spinal Injuries / Q000601:surgery; D013997:Time Factors