Emel YILDIZ, Halil YILDIZ

Postoperatif Gelişen Hipoksi; Negatif Basınçlı Akciğer Ödemi mi? Covid-19 mu? Olgu Sunumu

Negatif basınçlı akciğer ödemi (NBAÖ) nonkardiyojenik pulmoner ödem nedenlerinden birisi olarak kabul edilmektedir. Negatif basınçlı akciğer ödemi gelişen hastalardaki ortak mekanizma; hastanın genel anesteziden sonra ekstübasyonunu takip eden laringospazmın neden olduğu bir hava yolu obstrüksiyonudur. Elli yaşında, erkek hasta aşil tendon rüptürü nedeniyle genel anestezi altında opere edildi. Postoperatif boğaz ağrısı ve öksürük şikayeti başlayan ve toraks bilgisayarlı tomografi (BT) bulguları ile COVID-19’u düşündüren hastaya NBAÖ tanısı konuldu. Sürekli pozitif havayolu basıncı (CPAP) ve diüretik tedavisine sekonder iyileşme görüldü. Postoperatif 10. günde radyolojik bulguları geriledi. NBAÖ genel anestezi sonrasında; laringospazma sekonder ya da laringospazm olmaksızın, ekstübasyon sonrasında gelişebilecek pulmoner komplikasyonlar arasındadır.

Anahtar Kelimeler:

Negatif basınçlı pulmoner ödem, Laringospazm, COVID-19, Genel anestezi

Postoperative Hypoxia; Negative Pressure Pulmonary Edema? Is It COVID-19?: A Case Report

Negative pressure pulmonary edema (NPPE) is one of the causes of noncardiogenic pulmonary edema. The common mechanism in patients with NPPE; It is an airway obstruction caused by laryngospasm following the patient's extubation after general anesthesia. A fifty-year-old male patient was operated under general anesthesia due to rupture of the achilles tendon. The patient, who started to complain of sore throat and cough postoperatively, and thoracic computed tomography (CT) findings suggestive of COVID-19, was diagnosed with NPPE. Improvement was seen secondary to continuous positive airway pressure (CPAP) and diuretic therapy. The radiological findings regressed on the 10th postoperative day. After NBAÖ general anesthesia; it is among the pulmonary complications that may develop after extubation, secondary to laryngospasm or without laryngospasm.

Keywords:

Negative pressure pulmonary edema, Laryngospasm, COVID-19, General anesthesia,

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