title: [Case of negative pressure pulmonary edema after administration of sugammadex under general anesthesia with laryngeal mask airway].
abstract: We experienced a case of negative pressure pulmonary edema (NPPE) after administration of sugammadex under general anesthesia with LMA Supreme. Sugammadex was administered to a 76-year-old female patient following spontaneous ventilation. Immediately after the administration of sugammadex, laryngospasm occurred, and the patient's oxygen saturation dropped to 70%. About five minutes after the appearance of laryngospasm, she started to breathe spontaneously. However, a chest x-ray at this time showed pulmonary edema We suspected that sugammadex administration had triggered the laryngospasm, causing postoperative NPPE. When selecting a LMA under general anesthesia for airway management, we have to keep in mind the possibility of NPPE followed by laryngospasm.
authors: Yasuko
authors: Y
authors: Ikeda-Miyagawa
authors: Takako
authors: T
authors: Kihara
authors: Rumiko
authors: R
authors: Matsuda
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D001182:Arthroscopy; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D017214:Laryngeal Masks; D007826:Laryngismus / Q000139:chemically induced*; D008592:Menisci, Tibial / Q000601:surgery; D011183:Postoperative Complications / Q000139:chemically induced*; D011654:Pulmonary Edema / Q000139:chemically induced*; D000077122:Sugammadex; D047408:gamma-Cyclodextrins / Q000009:adverse effects*
chemical_list: D047408:gamma-Cyclodextrins; D000077122:Sugammadex