Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation.
Background: Acute negative pressure pulmonary edema is a complication that usually occurs shortly after extubation in patients receiving general anesthesia. It may also occur due to the bite of the endotracheal tube prior extubation.Case presentation: A 52-year-old male patient was scheduled for ven...
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| Format: | Article |
| Language: | English |
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TUBITAK
2021-08-01
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| Series: | Sağlık Akademisi Kastamonu |
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| Online Access: | https://dergipark.org.tr/tr/pub/sak/issue/43740/610933 |
| _version_ | 1828023514543685632 |
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| author | Buket Yıldız Serez Tülay Hoşten |
| author_facet | Buket Yıldız Serez Tülay Hoşten |
| author_sort | Buket Yıldız Serez |
| collection | DOAJ |
| description | Background: Acute negative pressure pulmonary edema is a
complication that usually occurs shortly after extubation in patients receiving
general anesthesia. It may
also occur due to the bite of the endotracheal tube prior extubation.Case presentation: A
52-year-old male patient was scheduled for ventriculoperitoneal shunt operation.
General anesthesia was applied. Respiratory and hemodynamic variables were
stable during surgery. At the end of the surgery, anesthetic drugs were
discontinued, the lumen of the endotracheal tube and oropharynx were aspirated.
When oropharyngeal airway was placed the patient bit and occluded his endotracheal
tube, and began exerting breathing effort. Rapid desaturation was observed and
pink foamy secretion came through the endotracheal tube. Bilateral diffuse
crackles were present. A chest X-ray revealed bilateral pulmonary edema. The
patient was transferred to the intensive care unit, sedation was applied and
volume controlled positive pressure mechanical ventilation was started. The
patient was extubated at the 12th postoperative hour and sent to the
ward on the third postoperative day. Discussion: The extubation plan should be done well. Aspiration
and extubation should be performed either under deep anesthesia or when the
patient is fully awake. Oropharyngeal airway should be placed under adequate
depth of anesthesia before extubation. Although oropharyngeal airway reduces the risk of biting of the endotracheal
tube and subsequent development of negative pressure pulmonary edema, it may
not prevent it completely. In negative pressure pulmonary edema treatment,
invasive or non-invasive mechanical ventilation may be preferred depending on
the severity of obstruction and degree of hypoxia. Early diagnosis and
treatment of negative pressure pulmonary edema is life-saving. |
| first_indexed | 2024-04-10T12:28:43Z |
| format | Article |
| id | doaj.art-5a2085e86edd42d5bcd8c19cc6bd8dbe |
| institution | Directory Open Access Journal |
| issn | 2548-1010 |
| language | English |
| last_indexed | 2024-04-10T12:28:43Z |
| publishDate | 2021-08-01 |
| publisher | TUBITAK |
| record_format | Article |
| series | Sağlık Akademisi Kastamonu |
| spelling | doaj.art-5a2085e86edd42d5bcd8c19cc6bd8dbe2023-02-15T16:15:00ZengTUBITAKSağlık Akademisi Kastamonu2548-10102021-08-0162516010.25279/sak.610933501Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation.Buket Yıldız Serez0Tülay Hoşten1KOCAELİ ÜNİVERSİTESİ, TIP FAKÜLTESİKOCAELİ ÜNİVERSİTESİ, TIP FAKÜLTESİBackground: Acute negative pressure pulmonary edema is a complication that usually occurs shortly after extubation in patients receiving general anesthesia. It may also occur due to the bite of the endotracheal tube prior extubation.Case presentation: A 52-year-old male patient was scheduled for ventriculoperitoneal shunt operation. General anesthesia was applied. Respiratory and hemodynamic variables were stable during surgery. At the end of the surgery, anesthetic drugs were discontinued, the lumen of the endotracheal tube and oropharynx were aspirated. When oropharyngeal airway was placed the patient bit and occluded his endotracheal tube, and began exerting breathing effort. Rapid desaturation was observed and pink foamy secretion came through the endotracheal tube. Bilateral diffuse crackles were present. A chest X-ray revealed bilateral pulmonary edema. The patient was transferred to the intensive care unit, sedation was applied and volume controlled positive pressure mechanical ventilation was started. The patient was extubated at the 12th postoperative hour and sent to the ward on the third postoperative day. Discussion: The extubation plan should be done well. Aspiration and extubation should be performed either under deep anesthesia or when the patient is fully awake. Oropharyngeal airway should be placed under adequate depth of anesthesia before extubation. Although oropharyngeal airway reduces the risk of biting of the endotracheal tube and subsequent development of negative pressure pulmonary edema, it may not prevent it completely. In negative pressure pulmonary edema treatment, invasive or non-invasive mechanical ventilation may be preferred depending on the severity of obstruction and degree of hypoxia. Early diagnosis and treatment of negative pressure pulmonary edema is life-saving.https://dergipark.org.tr/tr/pub/sak/issue/43740/610933negative pressure pulmonary edemabiting the endotracheal tubebite bloknegatif basınç pulmoner öemiendotrakeal tüpün isırılmasıisırma bloğu |
| spellingShingle | Buket Yıldız Serez Tülay Hoşten Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation. Sağlık Akademisi Kastamonu negative pressure pulmonary edema biting the endotracheal tube bite blok negatif basınç pulmoner öemi endotrakeal tüpün isırılması isırma bloğu |
| title | Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation. |
| title_full | Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation. |
| title_fullStr | Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation. |
| title_full_unstemmed | Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation. |
| title_short | Negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation. |
| title_sort | negative pressure pulmonary edema due to endotracheal tube bite in a patient who could not be placed guedel oropharyngeal airway before extubation |
| topic | negative pressure pulmonary edema biting the endotracheal tube bite blok negatif basınç pulmoner öemi endotrakeal tüpün isırılması isırma bloğu |
| url | https://dergipark.org.tr/tr/pub/sak/issue/43740/610933 |
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