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Korean J Crit Care Med > Volume 25(2); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(2): 98-103. doi: https://doi.org/10.4266/kjccm.2010.25.2.98
발관 후 발생한 음압성 폐부종(2예)과 폐출혈(1예) -증례 보고-
나윤숙ㆍ김치효ㆍ한종인ㆍ김동연
이화여자대학교 의학전문대학원 마취통증의학교실
Negative Pressure Pulmonary Edema and Hemorrhage after Extubation: A Case Report
Yoon Suk Ra, Chi Hyo Kim, Jong In Han, Dong Yeon Kim
Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea. 120060@mm.ewha.ac.kr
ABSTRACT
Negative pressure pulmonary edema (NPPE) is a rare complication of acute airway obstruction which develops after endotracheal extubation. The proposed mechanism is generation of very low negative pressure during laryngospasm by inspiratory efforts, which leads to alveolar exudation and hemorrhage. The diagnosis of NPPE is confirmed by clinical findings of tachypnea, pink prothy sputum in the endotracheal tube, hypoxemia on arterial blood gas analysis, and distinctive radiologic findings. NPPE is usually self-limited within 48 hours when diagnosed early and treated appropriately. We report three patients who recovered from NPPE without complications.
Key Words: airway obstruction; extubation; negative pressure; pulmonary edema; pulmonary hemorrhage
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