Ketamine and Pulmonary Oedema-Report of Two Cases

Perioperative pulmonary oedema is one of the most challenging complications faced by anaesthesiologists. In most of the instances, coronary artery disease, valvular heart diseases, hypertension may precipitate pulmonary oedema due to increased hydrostatic pressure while acid aspiration, airway obstr...

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Main Authors: S Parthasarathy, M Ravishankar, S Selvarajan, T Anbalagan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=4;spage=486;epage=488;aulast=Parthasarathy
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author S Parthasarathy
M Ravishankar
S Selvarajan
T Anbalagan
author_facet S Parthasarathy
M Ravishankar
S Selvarajan
T Anbalagan
author_sort S Parthasarathy
collection DOAJ
description Perioperative pulmonary oedema is one of the most challenging complications faced by anaesthesiologists. In most of the instances, coronary artery disease, valvular heart diseases, hypertension may precipitate pulmonary oedema due to increased hydrostatic pressure while acid aspiration, airway obstruction may cause it due to increased vascular permeability. In a few instances, acute pulmonary oedema can present in an otherwise healthy patient to cause diagnostic difficulties. We report two such cases of intra operative pulmonary oedema with the use of ketamine which were identified and managed successfully. The most probable cause is also described.
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spelling doaj.art-92f6bbcc7d9848549c89bf14dc88c1ff2022-12-22T03:56:40ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492009-01-01534486488Ketamine and Pulmonary Oedema-Report of Two CasesS ParthasarathyM RavishankarS SelvarajanT AnbalaganPerioperative pulmonary oedema is one of the most challenging complications faced by anaesthesiologists. In most of the instances, coronary artery disease, valvular heart diseases, hypertension may precipitate pulmonary oedema due to increased hydrostatic pressure while acid aspiration, airway obstruction may cause it due to increased vascular permeability. In a few instances, acute pulmonary oedema can present in an otherwise healthy patient to cause diagnostic difficulties. We report two such cases of intra operative pulmonary oedema with the use of ketamine which were identified and managed successfully. The most probable cause is also described.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=4;spage=486;epage=488;aulast=ParthasarathyPulmonary oedemaPerioperativeKetamine
spellingShingle S Parthasarathy
M Ravishankar
S Selvarajan
T Anbalagan
Ketamine and Pulmonary Oedema-Report of Two Cases
Indian Journal of Anaesthesia
Pulmonary oedema
Perioperative
Ketamine
title Ketamine and Pulmonary Oedema-Report of Two Cases
title_full Ketamine and Pulmonary Oedema-Report of Two Cases
title_fullStr Ketamine and Pulmonary Oedema-Report of Two Cases
title_full_unstemmed Ketamine and Pulmonary Oedema-Report of Two Cases
title_short Ketamine and Pulmonary Oedema-Report of Two Cases
title_sort ketamine and pulmonary oedema report of two cases
topic Pulmonary oedema
Perioperative
Ketamine
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=4;spage=486;epage=488;aulast=Parthasarathy
work_keys_str_mv AT sparthasarathy ketamineandpulmonaryoedemareportoftwocases
AT mravishankar ketamineandpulmonaryoedemareportoftwocases
AT sselvarajan ketamineandpulmonaryoedemareportoftwocases
AT tanbalagan ketamineandpulmonaryoedemareportoftwocases