title: Postobstructive pulmonary edema following accidental near-hanging.
abstract: METHODS
  Female, 14 FINAL DIAGNOSIS: Postobstructive pulmonary edenma Symptoms: Chest indrawing • bilateral pulmonary crepitations • tachypnea
  
  
  METHODS
  - Clinical Procedure: Controlled ventilatory support • positive end expiratory pressure Specialty: Intensive care.
  
  
  OBJECTIVE
  Unusual clinical course.
  
  
  BACKGROUND
  Postobstructive pulmonary edema (POPE) is a life-threatening complication that occurs after the relief of an upper airway obstruction. POPE occurs rarely in children, primarily after non-lethal hanging.
  
  
  METHODS
  We report the case of a 14-year-old girl who developed POPE after accidental near hanging. She had chest in-drawing, the SpO2 was 81% on room air, and pulmonary auscultation revealed bilateral crepitations. The chest x-ray showed bilateral diffuse infiltrates consistent with pulmonary edema. The intensive care management consisted of controlled ventilatory support with high-level positive end expiratory pressure. On the third day of hospitalization, the patient was weaned from the ventilator and extubated with a full recovery.
  
  
  CONCLUSIONS
  This case confirms the importance of early recognition of POPE and the value of adapted treatment, which can lead to a favorable outcome and full recovery in cases of near hanging.
authors.affiliation: Pediatric Intensive Care Unit, University Hospital Hassan II, Fes, Morocco.
authors.forename: Adnane Mohamed
authors.initials: AM
authors.lastname: Berdai
authors.forename: Smael
authors.initials: S
authors.lastname: Labib
authors.forename: Mustapha
authors.initials: M
authors.lastname: Harandou
keywords: child; near hanging; post-obstructive pulmonary edema
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