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- Negative Pressure Pulmonary Hemorrhage after Laryngospasm during the Postoperative Period
- In Soo Han, Bo Mi Han, Soo Yeon Jung, Jun Rho Yoon, Eun Yong Chung
- Acute Crit Care. 2018;33(3):191-195. Published online August 31, 2018
- DOI: https://doi.org/10.4266/acc.2016.00689
- 6,332 View
- 166 Download
- 5 Web of Science
- 5 Crossref
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Abstract
PDF - Negative pressure pulmonary hemorrhage (NPPH) is an uncommon complication of upper airway obstruction. Severe negative intrathoracic pressure after upper airway obstruction can increase pulmonary capillary mural pressure, which results in mechanical stress on the pulmonary capillaries, causing NPPH. We report a case of acute NPPH caused by laryngospasm in a 25-year-old man during the postoperative period. Causative factors of NPPH include negative pulmonary pressure, allergic rhinitis, smoking, inhaled anesthetics, and positive airway pressure due to coughing. The patient’s symptoms resolved rapidly, within 24 hours, with supportive care.
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Citations
Citations to this article as recorded by
- A Complex Presentation of Acute Postoperative Negative-Pressure Pulmonary Edema: A Case Report and Review of Literature
Larri Rudman, Javier B Chambi-Torres, Farah Chohan, Mohammad Aftab, Xinyu Cao, George Michel
Cureus.2023;[Epub] CrossRef - Laryngospasm Causing Recurrent Negative Pressure Alveolar Hemorrhage Resembling Acute Exacerbation of Interstitial Lung Disease: A Case Report
Haruna Yamaki, Masaru Ejima, Nozomi Sato, Kei Aoyagi, Tatsushi Kozawa, Seishi Higashi, Koji Takayama, Satoko Hanada, Reiko Taki
Respiratory Endoscopy.2023; 1(2): 95. CrossRef - Unilateral pulmonary hemorrhage caused by negative pressure pulmonary edema: A case report
Hyung Joon Park, Seung Ho Park, Un Tak Woo, Sang Yun Cho, Woo Jae Jeon, Woo Jong Shin
World Journal of Clinical Cases.2021; 9(6): 1408. CrossRef - Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report
Yumin Jo, Jagyung Hwang, Jieun Lee, Hansol Kang, Boohwi Hong
Journal of Medical Case Reports.2021;[Epub] CrossRef - Incidence of negative-pressure pulmonary edema following sugammadex administration during anesthesia emergence: A pilot audit of 27,498 general anesthesia patients and literature review
Chia-Li Kao, Chuan-Yi Kuo, Yi-Kai Su, Kuo-Chuan Hung
Journal of Clinical Anesthesia.2020; 62: 109728. CrossRef
- A Complex Presentation of Acute Postoperative Negative-Pressure Pulmonary Edema: A Case Report and Review of Literature
- Pulmonary
- Diffuse Alveolar Hemorrhage Confirmed by Bronchoalveolar Lavage in a Patient with Hemoptysis after Sildenafil Use for Erectile Dysfunction
- Kyoung Min Moon, Sun Young Jung, Min Soo Han, Yongseon Cho, Young Min Rah, Jong Woo Kim
- Korean J Crit Care Med. 2015;30(1):31-33. Published online February 28, 2015
- DOI: https://doi.org/10.4266/kjccm.2015.30.1.31
- 12,825 View
- 114 Download
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Abstract
PDF
- A 81-year-old man was referred for respiratory failure by emergency medical technicians. He admitted at intensive care unit for ventilator treatment. Several hours before admission, he took sildenafil 100 mg for erectile dysfunction without prescription. The episodes of hemoptysis occurred several hours later. Computed tomography revealed multifocal diffuse ground-glass attenuation in both lungs. And the more we performed bronchoalveolar lavage, the more the color of it was turned into red. We treated him with empirical antibiotics and tranexamic acid, and hemoptysis was stopped in one day after admission. But in the 5th admission day, he died from sepsis combined with pneumonia caused by Acinetobacter baumannii abruptly.
- Clinical Experience of the Lower Extremity Nerve Block for a Neurocritically Ill Patient Who is Not Able to Communicate:A Case Report
- Jun Rho Yoon, Tae Kwan Kim, Je Chun Yu, Yee Suk Kim, In Soo Han, Yong Ju Oh
- Korean J Crit Care Med. 2007;22(1):48-51.
- 1,404 View
- 26 Download
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Abstract
PDF
- A 73-year-old man was scheduled for the surgical reduction of fractured femur which occurred ar 3 months ago by the accident. The mental status of the patient was stuporous (Glasgow coma scale: 5) due to the complication of the head trauma. We performed nerve blocks (femoral, sciatic, lateral femoral cutaneous, and illiohypogastric nerve blocks) for the surgical reduction of left femur with 55 ml of 0.25% ropivacaine. The electroencephalography was monitored continuously during the 4 hour operation as well as monitoring the hemodynamic and respiratory parameters. The operation was performed successfully and the patient recovered uneventfully.
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