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postobstructive pulmonary edema

Tanisha Powell, Nirupma Sharma, Kathleen T McKie
A 2-year-old male with Poland-Moebius syndrome was transferred from a local hospital to the Pediatric ICU at Children's Hospital of Georgia for suspected postobstructive pulmonary edema (POPE) after tonsillectomy/adenoidectomy (T&A). The patient's respiratory status ultimately declined and he developed respiratory failure. Imaging suggested pulmonary edema as well as a left-sided pneumonia. Echocardiogram showed pulmonary hypertension and airway exam via direct fiberoptic bronchoscopy revealed tracheomalacia and bronchomalacia...
2016: Case Reports in Otolaryngology
Johnathan E Castaño, Monika E Freiser, Hassan H Ramadan
IMPORTANCE: Tonsillectomy is among the most common surgical procedures performed by general and pediatric otolaryngologists. Inpatient surgery is generally recommended for children 36 months and younger owing to concern for a higher incidence of postoperative complications. OBJECTIVE: To ascertain the need for a planned inpatient stay for extracapsular tonsillectomy in children 36 months and younger. DESIGN, SETTING, AND PARTICIPANTS: Retrospective medical record review of patients 36 months and younger who underwent inpatient extracapsular tonsillectomy or adenotonsillectomy at a tertiary care academic institution from January 2009 to September 2014...
March 2016: JAMA Otolaryngology—Head & Neck Surgery
Hong Lak Choi, Jin Hong Min, Jun Ho Kang, Hoon Kim, Jung Soo Park
No abstract text is available yet for this article.
May 2016: American Journal of Emergency Medicine
Atsunori Masuda, Fumihiro Asano, Akifumi Tsuzuku, Takuya Sobajima, Anri Murakami, Yoshihiko Matsuno, Kazuhiro Hirata, Kunihiro Matsunami, Atsushi Imamura
The patient was a 5-year-old boy who was transported to our hospital for a paroxysmal cough, disturbance of consciousness, tonic-clonic convulsions and labored breathing. The patient's respiratory failure persisted after the convulsions remitted, and the presence of an endobronchial foreign body was suspected based on the findings of chest CT performed the following day. A peanut was subsequently removed from the right main bronchus using a bronchoscope with tracheal intubation and bag valve mask ventilation...
2015: Internal Medicine
Kellen T Galster, Lisa D Mills, Fernando R Silva
BACKGROUND: Postobstructive pulmonary edema (POPE)-also referred to as negative pressure pulmonary edema-occurs with deep inspiration against a closed glottis or obstructed airway. The result can be life threatening, however, most cases have a self-limited presentation and resolve with supportive care. OBJECTIVE: Our aim was to critically evaluate a previously unreported mechanism in the exacerbation of POPE. CASE REPORT: This is a report of a 50-year-old woman who experienced an acute episode of hypoxia and altered mental status aboard a transcontinental flight...
December 2014: Journal of Emergency Medicine
Adnane Mohamed Berdai, Smael Labib, Mustapha Harandou
PATIENT: Female, 14 FINAL DIAGNOSIS: Postobstructive pulmonary edenma Symptoms: Chest indrawing • bilateral pulmonary crepitations • tachypnea MEDICATION: - 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...
2013: American Journal of Case Reports
Ann H Tsung, John H Slish, Nathaniel P Lisenbee, Brandon R Allen
BACKGROUND: Postobstructive pulmonary edema (POPE) is a form of sudden onset, noncardiogenic pulmonary edema that can occur after the relief of an upper airway obstruction. OBJECTIVE: Since POPE is an uncommon diagnosis made in the emergency department (ED), this case is presented to increase emergency physicians' awareness of the etiology, pathophysiology, and management of this type of edema. CASE REPORT: This is a case of bilateral POPE in a 40-year-old man with no history of cardiac or pulmonary disease who experienced near suffocation due to the vacuum effect of a swimming pool cover...
November 2013: Journal of Emergency Medicine
Fumitomo Sato, Nobukazu Sato, Yoshinobu Hata, Aika Suzuki, Hidenori Goto, Hajime Otsuka, Ryoichi Ochiai, Keigo Takagi
Negative pressure pulmonary edema (NPPE), or acute postobstructive pulmonary edema, is caused by negative intrathoracic pressure against an obstructed upper airway. Although NPPE is generally a benign condition, several fatal cases attributed to the delay in diagnosis have been reported. We report a case of NPPE experienced during Dumon stent placement. In a 39-year-old man, unilateral NPPE developed upon relief from a right main bronchial obstruction caused by a blood clot within the Dumon. The incident indicates that the "increased preload theory" is unable by itself to explain the pathophysiology of NPPE...
October 2012: Journal of Bronchology & Interventional Pulmonology
Pang-Yen Liu, Ming-Lang Shih, Chein-Wen Chen
No abstract text is available yet for this article.
December 11, 2012: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Stalin Viswanathan, Vivekanandan Muthu, Bhavith Remalayam
AIM: To study the incidence and outcome of pulmonary edema in patients admitted with near hanging. MATERIALS: A retrospective analysis of 19 cases of near hanging admitted in our Emergency Department between January 2007 and December 2010 was performed. Occurrence of pulmonary edema; electrocardiographic changes; ejection fraction on echocardiography, cardiac enzymes, mechanical ventilation; and use of inotropes, mannitol, and steroids were noted. RESULTS: Seven patients developed clinical and radiologic pulmonary edema, among whom three had electrocardiographic and echocardiographic changes that resolved before discharge...
January 2012: Journal of Trauma and Acute Care Surgery
Eric M Jaryszak, Rahul K Shah, Christopher C Vanison, Lina Lander, Sukgi S Choi
OBJECTIVE: To determine polysomnographic (PSG) variables that may potentially predict adverse respiratory events after pediatric adenotonsillectomy. DESIGN: Retrospective, case-control study. SETTING: Free-standing academic tertiary-care pediatric hospital. PATIENTS: The study included 1131 patients undergoing adenotonsillectomy by 2 attending surgeons. There were no exclusion criteria. MAIN OUTCOME MEASURES: Variables from preoperative PSGs were analyzed to determine predictors of postoperative respiratory complications...
January 2011: Archives of Otolaryngology—Head & Neck Surgery
I-Chen Chen, Ko-Hsin Chen, Chien-Ming Tseng, Jong-Hau Hsu, Jiunn-Ren Wu, Zen-Kong Dai
Postobstructive pulmonary edema is life-threatening, and results from a sudden episode of upper airway obstruction. Croup is generally thought to be a benign condition, but occasionally it can develop into postobstructive pulmonary edema. We present a case of a 5-year-old boy with recurrent croup, who was diagnosed with postobstructive pulmonary edema. Our experience alerts pediatricians to this easily misdiagnosed disease.
October 2010: Kaohsiung Journal of Medical Sciences
Coenraad F N Koegelenberg, Chris T Bolliger, Elvis M Irusen, Colleen A Wright, Mercia Louw, Pawel T Schubert, Andreas H Diacon
BACKGROUND: Proximal lung tumors, though not discernable by means of transthoracic ultrasound (US), may cause varying degrees of pulmonary collapse and postobstructive pneumonitis which may give rise to a 'drowned lung' appearance on chest computed tomography (CT) and US. The diagnostic yield for malignancy of US-assisted transthoracic fine-needle aspiration (FNA) of these areas of drowned lung is unknown. OBJECTIVES: We aimed to explore the feasibility of US-assisted FNA in this setting by prospectively investigating its diagnostic yield and safety...
2011: Respiration; International Review of Thoracic Diseases
Ashish Udeshi, Shawn Michael Cantie, Edgar Pierre
Postobstructive pulmonary edema (POPE; also known as negative pressure pulmonary edema) is a potentially life-threatening complication in which pulmonary edema occurs shortly after the relief of an upper airway obstruction. The incidence of POPE has been reported to be as high as 1 in 1000 general anesthetic cases and commonly presents as acute respiratory distress that requires immediate intervention. This review examines the 2 subclasses of POPE and describes the etiologic factors, pathophysiology, clinical manifestations, diagnostic criteria, and treatment strategies associated with each...
September 2010: Journal of Critical Care
Vasilios Papaioannou, Irene Terzi, Christos Dragoumanis, Ioannis Pneumatikos
Negative-pressure pulmonary edema is a well-known complication of an acute upper airway obstruction, which may rarely present as acute alveolar hemorrhage in cases of severe capillary stress failure. Hemorrhage from the central airways has also been reported as a rare manifestation of acute tracheobronchial injury, associated with severe disruption of the bronchial vasculature due to highly negative inspiratory pressure. In this clinical report, we describe a case of both acute tracheobronchial and alveolar hemorrhage in a young man, occurring immediately after extubation due to laryngospasm, diagnosed by bronchoscopy with bronchoalveolar lavage (BAL), measurement of the pulmonary edema fluid/plasma protein ratio, and by thoracic computed tomography (CT) scan...
2009: Journal of Anesthesia
Anny Sauvageau
No abstract text is available yet for this article.
February 2009: Indian Journal of Medical Sciences
Aditi Sinha, Sindhu Sivanandan, P Ramesh, Rakesh Lodha, S K Kabra
Postobstructive pulmonary edema occurs rarely in children. We describe here a child who attempted suicide by hanging and developed postobstructive pulmonary edema and was successfully managed. There was a rapid response to management with morphine and supportive care, enabling extubation by 30 hours of ventilatory support. The case highlights an unusual cause of postobstructive pulmonary edema.
October 2008: Indian Journal of Pediatrics
S L Smith, K D Pereira
The indications for pediatric adenotonsillectomy have changed over time from chronic pharyngitis to sleep-disordered breathing. It is important to thoroughly evaluate children for symptoms related to these problems. Symptoms of sleep-disordered breathing range from snoring to obstructive events. Diagnosis is made from accurate history taking, physical examination, and polysomnography. Although surgical treatment has been shown to improve the quality of life in these children, it is not without risks, including bleeding, velopharyngeal insufficiency or postobstructive pulmonary edema...
2007: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Christine V Fiorello, Mark W Cunningham, Shauna L Cantwell, Julie K Levy, Erin M Neer, Kenneth Conley, Paul M Rist
A free-ranging, adult male Florida panther (Puma concolor coryi) was immobilized and evaluated for hematuria following routine capture. Prior to anesthetic recovery, the panther was fitted with a telemetry collar. After an initially quiet recovery, the panther began thrashing in the transport cage, and was again immobilized. Pink foam was evident from the nostrils, and crackles were ausculted over the chest, indicating pulmonary edema. Postobstructive pulmonary edema was diagnosed based on history, clinical signs, radiographic evaluation, and blood gas analysis...
June 2007: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
Richard D Fremont, Richard H Kallet, Michael A Matthay, Lorraine B Ware
BACKGROUND: Postobstructive pulmonary edema is a well-recognized complication of upper airway obstruction. The mechanisms of edema formation are unclear and may be due to increased hydrostatic forces generated by high negative inspiratory pressure or by increased permeability of the alveolar capillary membrane. Measurement of the edema fluid/plasma protein ratio and the rate of net alveolar fluid clearance are two well-validated methods for classifying the underlying mechanism of edema formation...
June 2007: Chest
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