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Nonkardiyojenik Akcier deminin Nadir Bir Nedeni Olan Negatif Basnl Pulmoner dem: ki Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2015; 4(2): 136-140 | DOI: 10.5505/respircase.2015.20982

Nonkardiyojenik Akcier deminin Nadir Bir Nedeni Olan Negatif Basnl Pulmoner dem: ki Olgu Sunumu

Levent zdemir1, Burcu zdemir2, Hakan Karabay3, Senem Urfal3, Resul Akyol3, Zulal zbolat1, Yusuf Kln4, Sema Nur alkan2, Ali Ersoy5, Bilge zmezolu6
1Drtyol Devlet Hastanesi, Gs Hastalklar Klinii, Hatay
2skenderun Devlet Hastanesi, Gs Hastalklar Klinii, Hatay
3Drtyol Devlet Hastanesi, Anestezi ve Reanimasyon Klinii, Hatay
4Drtyol Devlet Hastanesi, Kardiyoloji Klinii, Hatay
5Antakya Devlet Hastanesi, Gs Hastalklar Klinii, Hatay
6Ankara Numune Eitim ve Aratrma Hastanesi, Gs Hastalklar Klinii, Ankara

Negatif basnl pulmoner dem (NBP) genel anestezi sonrasnda erken postoperatif dnemde laringospazma bal olarak geliebilen, hayat tehdit eden ve nadir gzlenen nonkardiyojenik bir pulmoner dem sebebidir. Otuz yanda erkek ve krk yanda kadn hastaya genel anestezi altnda apendektomi ve kolesistektomi operasyonu uyguland. Entbasyon ve operasyon sresince hemodinamik ve solunumsal sknt yaanmad. Birinci olguda ekstubasyon sonrasnda birka dakika ierisinde ciddi laringospazm ve iddetli inspiratuvar efor sonras satrasyonunda dme saptand. kinci olguda ise operasyondan 45dk sonra nefes darl ve satrasyonda dme sap-tand. Her iki olgunun da fiziki muayenesinde bilateral orta ve alt zonda ralleri mevcuttu. Postoperatif ekilen akcier ve toraks tomografilerinde akcier demi ile uyumlu bulgular saptand. Postoperatif ekokardiyografik bulgular normaldi. Her iki olguya da beta-2 agonist, inhale steroid, oksijen ve diretik tedavisi verildi. Postoperatif erken dnemde satrasyon dkl olan hastalarda ayrc tanda negatif basnl pulmoner dem de aklda tutulmaldr.

Anahtar Kelimeler: Negatif basnl pulmoner dem, anestezi, nonkardiyojenik dem.

A Rare Cause of Non-cardiogenic Pulmonary Edema Negative Pressure Pulmonary Edema: Two Case Reports

Levent zdemir1, Burcu zdemir2, Hakan Karabay3, Senem Urfal3, Resul Akyol3, Zulal zbolat1, Yusuf Kln4, Sema Nur alkan2, Ali Ersoy5, Bilge zmezolu6
1Clinic of Chest Diseases, Drtyol State Hospital, Hatay, Turkey
2Clinic of Chest Diseases, skenderun State Hospital, Hatay, Turkey
3Clinic of Anaesthesia and Reanimation, Drtyol State Hospital, Hatay, Turkey
4Clinic of Cardiology, Drtyol State Hospital, Hatay, Turkey
5Clinic of Chest Diseases, Antakya State Hospital, Hatay, Turkey
6Clinic of Chest Diseases, Ankara Numune Training and Research Hospital, Ankara, Turkey

Negative pressure pulmonary edema (NPPE) is a life threatening rare cause of non-cardiogenic pulmonary edema that can occur due to laryn-gospasm in the early postoperative period after general anesthesia. A 33-year-old male and a 43-year-old female appendectomy and cholecystectomy were performed under general anesthesia. Hemodynamic and respiratory distress were not experienced during intubation and operation. Serious laryngospasm and a reduction in saturation after severe inspiratory effort were detected in the first patient within a few minutes after extubation. Dyspnea and a reduction in saturation were established after 45 minutes of the operation in the second patient. Patients had bilateral middle and lower zone crackles upon physical the examination. Postoperative chest and thorax tomography revealed findings consistent with pulmonary edema. Postoperative echocardiographic findings were normal. Beta-2 agonists, inhaled steroids, oxygen, and diuretic therapy were administered to patients. NPPE should also be kept in mind in the differential diagnosis in patients with low saturation in the early postoperative period.

Keywords: Negative pressure pulmonary edema, anesthesia, noncardiogenic edema.

Levent zdemir, Burcu zdemir, Hakan Karabay, Senem Urfal, Resul Akyol, Zulal zbolat, Yusuf Kln, Sema Nur alkan, Ali Ersoy, Bilge zmezolu. A Rare Cause of Non-cardiogenic Pulmonary Edema Negative Pressure Pulmonary Edema: Two Case Reports. Respir Case Rep. 2015; 4(2): 136-140

Sorumlu Yazar: Levent zdemir, Trkiye
Makale Dili: Trke
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