Negative pressure pulmonary edema after reversing rocuronium-induced neuromuscular blockade by sugammadex.
Negative pressure pulmonary edema (NPPE) is a rare complication that accompanies general anesthesia, especially after extubation. We experienced a case of negative pressure pulmonary edema after tracheal extubation following reversal of rocuronium-induced neuromuscular blockade by sugammadex. In this case, the contribution of residual muscular block on the upper airway muscle as well as large inspiratory forces created by the respiratory muscle which has a low response to muscle relaxants, is suspected as the cause.
Department of Anesthesiology, Musashikosugi Hospital, Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kanagawa 211-8533, Japan.
Manzo
M
Suzuki
Department of Anesthesiology, Musashikosugi Hospital, Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kanagawa 211-8533, Japan.
Toshiichiro
T
Inagi
Department of Anesthesiology, Higashitotuka Memorial Hospital, 548-7 Shinano-cho, Totsuka-ku, Yokohama-shi, Kanagawa 244-0801, Japan.
Takehiko
T
Kikutani
Department of Surgery, Higashitotuka Memorial Hospital, 548-7 Shinano-cho, Totuka-ku, Yokohama-shi, Kanagawa 244-0801, Japan.
Takuya
T
Mishima
Department of Anesthesiology, Musashikosugi Hospital, Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kanagawa 211-8533, Japan.
Hiroyasu
H
Bito