Edema agudo pulmonar associado à obstrução das vias aéreas. Relato de caso

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dc.contributor.authorBisinotto, Flora Margarida Barra [UNESP]
dc.contributor.authorCardoso, Ricardo de Paula
dc.contributor.authorAbud, Tânia Mara Vilela [UNESP]
dc.contributor.institutionUniversidade Federal do Triângulo Mineiro (UFTM)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:22:49Z
dc.date.available2014-05-27T11:22:49Z
dc.date.issued2008-03-01
dc.description.abstractBAKGROUND AND OBJECTIVES: Negative pressure pulmonary edema has been defined as non-cardiogenic edema, with transudation of fluid to the interstitial space of the lungs due to an increase in negative intrathoracic pressure secondary to obstruction of the upper airways. This is the case of a healthy patient who underwent general anesthesia and developed acute pulmonary edema after extubation. CASE REPORT: A 23-year old female patient, physical status ASA II, underwent gynecologic videolaparoscopy under general anesthesia. The procedure lasted 3 hours without intercurrence. After extubation the patient developed laryngeal spasm and reduction in oxygen saturation. The patient improved after placement of an oral cannula and administration of oxygen under positive pressure with a face mask. Once the patient was stable she was transferred to the recovery room where, shortly after her arrival, she developed acute pulmonary edema with elimination of bloody serous secretion. Treatment consisted of elevation of the head, administration of oxygen via a face mask, furosemide and fluid restriction. Chest X-ray was compatible with acute pulmonary edema and normal cardiac area. Electrocardiogram (ECG), echocardiogram and cardiac enzymes were normal. The condition of the patient improved and she was discharged from the hospital the following day, asymptomatic. CONCLUSIONS: Acute pulmonary edema associated with obstruction of the upper airways can aggravate surgical procedures with low morbidity, affecting mainly young patients. Early treatment should be instituted because it has a fast evolution and, in most cases, resolves without lasting damages. © Sociedade Brasileira de Anestesiologia, 2008.en
dc.description.affiliationUFTM
dc.description.affiliationCET/SBA da UFTM
dc.description.affiliationFMB-UNESP
dc.description.affiliation, Praça dos Lírios, 58, Morada das Fontes 38060-460 Uberaba, MG
dc.description.affiliationUnespFMB-UNESP
dc.format.extent165-171
dc.identifierhttp://dx.doi.org/10.1590/S0034-70942008000200009
dc.identifier.citationRevista Brasileira de Anestesiologia, v. 58, n. 2, p. 165-171, 2008.
dc.identifier.doi10.1590/S0034-70942008000200009
dc.identifier.file2-s2.0-41149095055.pdf
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.scieloS0034-70942008000200009
dc.identifier.scopus2-s2.0-41149095055
dc.identifier.urihttp://hdl.handle.net/11449/70324
dc.language.isopor
dc.language.isoeng
dc.relation.ispartofRevista Brasileira de Anestesiologia
dc.relation.ispartofjcr0.850
dc.relation.ispartofsjr0,320
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAIRWAYS: negative pressure
dc.subjectCOMPLICATIONS: pulmonary edema
dc.subjectObstruction
dc.subjectheart enzyme
dc.subjectadult
dc.subjectairway obstruction
dc.subjectcase report
dc.subjectclinical feature
dc.subjectdisease association
dc.subjectechocardiography
dc.subjectelectrocardiography
dc.subjectfemale
dc.subjecthuman
dc.subjectlung edema
dc.subjectthorax radiography
dc.subjectAcute Disease
dc.subjectAirway Obstruction
dc.subjectFemale
dc.subjectHumans
dc.subjectPulmonary Edema
dc.subjectYoung Adult
dc.titleEdema agudo pulmonar associado à obstrução das vias aéreas. Relato de casopt
dc.title.alternativeAcute pulmonary edema associated with obstruction of the airways. Case reporten
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/rba/paboutj.htm

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