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CASE REPORT
Year : 2016  |  Volume : 3  |  Issue : 3  |  Page : 223-225

An anesthetic management of negative pressure pulmonary edema


1 Department of Anesthesia, IGIMS, Patna, Bihar
2 Department of Cardiology, JLN Medical College, Ajmer, Rajasthan

Correspondence Address:
Dipti Raj
c/o Dr. Akhilesh Kumar Singh, House No: 59-b, Road No: 8-b, Rajendra Nagar, Patna - 800 016, Bihar

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2348-3334.183750

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Negative pressure pulmonary edema (NPPE) is one of the common complications of upper airway obstruction seen by anesthesiologist during either in induction or emergence sometimes both. Patients who have experienced NPPE are generally healthy without comorbidities. NPPE is a result of marked decrease in intrathoracic pressure caused by ventilator efforts against a closed glottis resulting in disruption of normal intravascular Starling mechanism, leading to transudation of intravascular protein, and fluids into the pulmonary interstitium. The onset of NPPE is usually rapid and without prompt recognition and intervention, the outcome can be fatal. This case report is of a 40-year-old female adult, who underwent right-sided percutaneous nephrolithotomy for stone in the right kidney otherwise uncomplicated surgical procedure.


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