Post-obstructive pulmonary edema: report of 3 cases
DOI:
https://doi.org/10.51481/amc.v44i4.433Keywords:
Edema pulmonar postobstructivo, complicación postoperatoriaAbstract
Postobstructive pulmonary edema (POPPE) is a postopera-tive complication and its approach depends on an appropriatediagnosis. POPPE can be classified in two types. POPPE typeI is caused by acute upper airway obstruction , and type II isdue to chronic obstruction. The mechanism of this entity is amarked decrease in pericapilar interstitical pressure in thelung that results in capillary leakage and edema. Its treatmentrequires mechanical ventilatory support including positiveend expiratory pressure (PEEP). Its prognosis is very good ifthe diagnosis is done appropriately. We report three cases thatillustrate its diagnosis and treatment.
Downloads
References
Arieff, A.I. Fatal Postoperative Pulmonary Edema. Pathogenesis andLiterature Review. Chest 1999; 115: 1371-1377
Moore RL. The response to respiratory resistance: a comparison of theeffects produced by partial obstruction in the inspiratory and expirato-ry phases of respiration. J Exp Med 1927;45:1065-80. 3.Capitanio MA, Kirkpatrick JA. Obstructions of the upper airway inchildren as reflected on the chest radiograph. Radiology 1973;107:159-61. Citation
Travis KW, Todres ID, Shannon DC. Pulmonary edema associated withcroup and epiglottitis. Pediatrics 1977;59:69
-6985Oswalt C, Gates GA, Holmstrom MG. Pulmonary edema as a compli-cation of acute airway obstruction. JAMA1977; 34: 1833-1835
Van Kooy MA, Gargiulo RF. Postobstructive pulmonary edema. AmFam Physician 2000; 62 : 401-4.
Schwartz D. Maroo A. Malhorta A. Kesselman H. Negative PressurePulmonary Hemorrhage. Chest 1999; 115: 1194-1197
Stuth E. Strucke A. Berens R. Negative-pressure Pulmonay Edema in aChild with Hiccups during Induction. Anesthesiology 2000; 93: 282-284
Masa Jiménez J. F. Verea Hernando H. De la Cruz Ríos J. Sánchez J.Pulmonary Edema Due to Upper Airway Obstruction. Chest 1990; 97:255
Willms, D. Shure, D. Pulmonary Edema due to Upper A i r w a yObstruction in Adults. Chest 1988; 94: 1090-1092
Dolinski S., MacGregor D.Scuderi P. PulmonaryHemorrhageAssociated with Negative Pressure Pulmonary Edema. Anesthesiology2000, 93; 888-890
McConkey P. Airway bleeding in negative-pressure pulmonary edema.Anesthesiology 2001;95:272
Arandia. H, Patil V. U. Glottic Closure Following Large Doses ofFentanyl. Anesthesiology 1987, 66: 575-576
Gould, D. Buprenorphine Causes Pulmonary Edema Just Like OtherMu-opioid Narcotics. Chest 1995; 107: 1478-1479
Gómez R, Domínguez A, Herranz-Andrés, et al. Dos casos de edemaagudo de pulmón secundario a laringospasmo. Rev. Esp. Anestesiol.Reanim 1999; 46: 317-319
Downloads
Published
Issue
Section
License
Copyright (c) 2008 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
