Chest
Selected ReportsNegative Pressure Pulmonary Hemorrhage
Section snippets
Case Report
A 46-year-old muscular African-American man with a medical history significant for high myopia, glaucoma, mild mental retardation, and cocaine abuse underwent elective vitreous debridement and cataract removal for scarring due to bleb-associated endophthalmitis of his right eye. Preoperative testing was not performed. General anesthesia was induced with propofol and fentanyl and was maintained with isoflurane and nitrous oxide. The patient was given succinylcholine prior to an atraumatic
Discussion
We have presented a case of a 46-year-old man who underwent routine surgery with general anesthesia and suffered from hypoxemic respiratory failure following extubation. He likely experienced acute UAO secondary to redundant pharyngeal soft tissue and loss of muscle tone related to the postanesthetic state. Vigorous inspiratory efforts against an obstructed upper airway (the modified Mueller maneuver) led to the development of acute NPPE. Our patient, however, developed frank alveolar
References (25)
- et al.
Postobstructive pulmonary edema following anesthesia
J Clin Anesth
(1990) - et al.
Pulmonary edema due to upper airway obstruction in adults
Chest
(1988) - et al.
Diffuse pulmonary hemorrhage
Radiol Clin North Am
(1991) - et al.
Time course of hemosiderin production and clearance by human pulmonary macrophages
Chest
(1984) - et al.
Stress failure of pulmonary capillaries: role in lung and heart disease
Lancet
(1992) - et al.
Cardiopulmonary pathology in patients with sleep apnea/obesity hypoventilation syndrome
Hum Pathol
(1997) - et al.
A review of the respiratory effects of smoking cocaine
Am J Med
(1989) - et al.
Pulmonary edema and acute upper airway obstruction
Laryngoscope
(1986) - et al.
Pulmonary oedema associated with airway obstruction
Can J Anaesth
(1990) - et al.
Pulmonary edema as a complication of acute airway obstruction
JAMA
(1977)