Laringospazm Sonrası Gelişen Negatif Basınçlı Akciğer Ödemi
Laringospazm, postoperatif periyodda nadir karşılaşılmayan bir durumdur. Eğer erken fark edilip tedavi edilir ise geçicidir. Buna rağmen, bazı nadir vakalarda tanı ve tedavide geç kalınırsa yüksek morbitide, desatürasyon, Negatif Basınçlı Pulmoner Ödem (NBPÖ) ve mortalite riski ile ilişkili olabilir. Bu olguda genç sağlıklı bir erkekte laringospazm sonrası gelişen NBPÖ ve ARDS nedeni ile yoğun bakım ünitesinde tedavi edilen olgunun sunulması amaçlandı
Negative Pressure Pulmonary Edema Following Laryngospasm
Laryngospasm is not an uncommon event in postoperative period.It is temporary if diagnosed and treated early.However in some rare cases;it may be related to high morbidity,desaturation, negative pressure pulmonary edema(NPPE) and the risk of mortality if a delay occurs in the diagnosis and treatment. We aimed to present here a case of a young and healty male who developed negative pressure pulmonary edema(NPPE) and ARDS following laryngospasm and treated in intensive care unit
___
- Rex MA. A review of the structural and functional basis of laryngospasm and a discussion of the nerve pathways involved in the reflex and its clinical significance in man and animals. Br J Anaesth. 1970;42:891-899.
- Visvanathan T, Kluger MT, Webb RK, Westhorpe RN. Crisis management during anaesthesia: laryngospasm. Qual Saf HealthCare 2005 Jun;14,1- 1
- Salem MR, Crystal GJ, Nimmagadda U. Understanding the mechanics of laryngospasm is crucial for proper treatment. Anesthesiology. 2012;117:441-442.
- Holmes JR, Hensinger RN, Wojtys EW. Postoperative pulmonary edema in young, athletic adults. Am J Sports Med. 1991;19:365-371.
- Gavel G, Walker R. Extubation guidelines: management of laryngospasm. Anaesthesia. 2012;67:920-921
- de Hombre, Alina M. García, Alejandro Cuffini, and Alejandro Bonadeo. "Negative pressure pulmonary "ActaOtorrinolaringologica (English Edition) 64.4 (2013): 300-302.
- Vandse R, Kothari DS, Tripathi RS, Lopez L, Stawicki SP, Papadimos TJ. Negative pressure pulmonary edema with laryngeal mask airway use: Recognition, pathophysiology and treatment modalities. Int J CritI lln Inj Sci. 2012;2:98-103.
- Davidson S, Guinn C, Gacharna D. Diagnosis and treatment of negative pressure pulmonary edema in a pediatric patient: A casereport. AANA. 2004;72:337-338.
- Phua J, Badia JR, Adhikari NK, et al. Has mortality from acute respiratory distress syndrome decreased over time? A systematic review. Am J Respir Crit Care Med. 2009;179:220-227.