Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary Tumor
Negative pressure pulmonary edema (NPPE) is a well-known, albeit infrequent complication caused by upper airway obstruction. It may be seen after extubation following general anesthesia due to excessive negative intrathoracic pressure exerted against an obstructed upper airway. This leads to fluid e...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-06-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1763265 |
| _version_ | 1827342175957942272 |
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| author | Apoorva Singh Shalvi Mahajan Shweta Aghi Sanjay Kumar |
| author_facet | Apoorva Singh Shalvi Mahajan Shweta Aghi Sanjay Kumar |
| author_sort | Apoorva Singh |
| collection | DOAJ |
| description | Negative pressure pulmonary edema (NPPE) is a well-known, albeit infrequent complication caused by upper airway obstruction. It may be seen after extubation following general anesthesia due to excessive negative intrathoracic pressure exerted against an obstructed upper airway. This leads to fluid extravasation from the pulmonary capillaries into the alveolar spaces and lung parenchyma. We report a case of NPPE after endoscopic transsphenoidal resection of the nonfunctional pituitary tumor, which occurred secondary to bilateral nasal packing. Reintubation and positive pressure ventilation were used to manage the patient, who was later extubated after the resolution of features of NPPE. |
| first_indexed | 2024-03-07T22:02:52Z |
| format | Article |
| id | doaj.art-0b749fccea384572b33ca8ab1dd3e58d |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-03-07T22:02:52Z |
| publishDate | 2023-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-0b749fccea384572b33ca8ab1dd3e58d2024-02-23T23:44:10ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2023-06-01100211211410.1055/s-0043-1763265Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary TumorApoorva Singh0https://orcid.org/0000-0002-2556-1686Shalvi Mahajan1https://orcid.org/0000-0002-8657-0586Shweta Aghi2Sanjay Kumar3https://orcid.org/0000-0002-0884-9602Department of Neuroanesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaNegative pressure pulmonary edema (NPPE) is a well-known, albeit infrequent complication caused by upper airway obstruction. It may be seen after extubation following general anesthesia due to excessive negative intrathoracic pressure exerted against an obstructed upper airway. This leads to fluid extravasation from the pulmonary capillaries into the alveolar spaces and lung parenchyma. We report a case of NPPE after endoscopic transsphenoidal resection of the nonfunctional pituitary tumor, which occurred secondary to bilateral nasal packing. Reintubation and positive pressure ventilation were used to manage the patient, who was later extubated after the resolution of features of NPPE.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1763265transnasal transsphenoidal pituitary surgerynegative pressure pulmonary edemanasal packing |
| spellingShingle | Apoorva Singh Shalvi Mahajan Shweta Aghi Sanjay Kumar Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary Tumor Journal of Neuroanaesthesiology and Critical Care transnasal transsphenoidal pituitary surgery negative pressure pulmonary edema nasal packing |
| title | Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary Tumor |
| title_full | Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary Tumor |
| title_fullStr | Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary Tumor |
| title_full_unstemmed | Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary Tumor |
| title_short | Negative Pressure Pulmonary Edema after Bilateral Nasal Packing following Transsphenoidal Pituitary Surgery for Nonfunctioning Pituitary Tumor |
| title_sort | negative pressure pulmonary edema after bilateral nasal packing following transsphenoidal pituitary surgery for nonfunctioning pituitary tumor |
| topic | transnasal transsphenoidal pituitary surgery negative pressure pulmonary edema nasal packing |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1763265 |
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