title: Negative pressure pulmonary edema after laparoscopic donor nephrectomy.
abstract: BACKGROUND
  Laparoscopic donor nephrectomy is associated with a 10% chance of morbidity and a 0.03% mortality rate. We present a case of negative pressure pulmonary edema (NPPE) in a healthy subject immediately following a laparoscopic donor nephrectomy. In this report, we will use the case to review the complications of NPPE and to illustrate its management.
  
  
  METHODS
  A healthy 19-y-old male presented at our institution as a living-related donor for left laparoscopic donor nephrectomy. Following the surgery, the patient was reintubated and kept in the intensive care unit secondary to NPPE. The patient experienced an uneventful postoperative course and was subsequently discharged.
  
  
  CONCLUSIONS
  Although a self-limiting phenomenon, mainstay NPPE therapy requires immediate re-establishment of the airway, adequate oxygenation, and application of positive airway pressure.
authors.affiliation: Jefferson Medical College, Philadelphia, PA, USA.
authors.forename: Mohit
authors.initials: M
authors.lastname: Gupta
authors.forename: Ardavan
authors.initials: A
authors.lastname: Akhavan
authors.forename: Matthew
authors.initials: M
authors.lastname: Hall
authors.forename: Michael
authors.initials: M
authors.lastname: Palese
mesh_terms: D045422:Continuous Positive Airway Pressure / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal; D010535:Laparoscopy / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects*; D011312:Pressure; D011654:Pulmonary Edema / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D055815:Young Adult