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Laparoscopic Endoscopic Surgical Science Solunum Yetmezliinin Nadir Bir Nedeni: Negatif Basnl Pulmoner dem [Respir Case Rep]
Respir Case Rep. 2022; 11(2): 69-72 | DOI: 10.5505/respircase.2022.56823

Solunum Yetmezliinin Nadir Bir Nedeni: Negatif Basnl Pulmoner dem

Baak Saynalp1, Ouz Abdullah Uyarolu2
1Hacettepe niversitesi Tp Fakltesi, Hastalklar Anabilim Dal, Ankara
2Hacettepe niversitesi Tp Fakltesi, Hastalklar Anabilim Dal, Genel Dahiliye Bilim Dal, Ankara

Bu olgu sunumunda, elektif artroskopik ilem sonras nefes darl gelien, negatif basnl pulmoner dem (NBP) tans konan ve baaryla tedavi edilen bir hasta sunulmutur. Yirmi dokuz yanda, herhangi bir tbbi yks olmayan erkek hasta, askeri operasyon srasnda gelien rotator manet yrt nedeniyle hastanemize bavurdu. Genel anestezi altnda artroskopik ilem yapld. Ancak hastada ekstbasyondan 2 saat sonra dispne geliti. Hastada satrasyon dkl ve takipne ile birlikte ve kpkl pembe balgam grld. Bilgisayarl tomografi pulmoner anjiyografide tromboemboli saptanmayp, her iki akcierde kardiyojenik olmayan pulmoner dem dndren yaygn buzlu cam opasiteleri saptand. Hasta NBP tans konularak invazif olmayan mekanik ventilasyon, intravenz furosemid ve inhale ksa etkili betaagonistler ile tedavi edildi. Birka gn iinde belirgin bir iyileme grlen hasta herhangi bir solunum semptomu olmadan taburcu edildi. Ekstbasyon sonras solunum yetmezlii gelien kiilerde hayat tehdit edici bir tablo olan NBP akla gelmelidir.

Anahtar Kelimeler: Akut solunum yetmezlii, negatif basnl pulmoner dem, kardiyojenik olmayan pul-moner dem.

A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema

Baak Saynalp1, Ouz Abdullah Uyarolu2
1Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Trkiye
2Department of General Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Trkiye

We report here on the successful management of a patient who developed dyspnea after an elective arthroscopic procedure and who was diagnosed with Negative Pressure Pulmonary Edema (NPPE). A 29-year-old male patient with no known medical history was admitted to our hospital due to a rotator cuff tear sustained during a military operation. An arthroscopic procedure under general anesthesia was performed; however, the patient developed dyspnea 2 hours after extubation. He was desaturated, tachypneic and began to produce frothy pink sputum. Pulmonary computed-tomography angiography revealed wide-spread ground-glass opacities in both lungs suggest-ing non-cardiogenic pulmonary edema without acute pulmonary thromboembolism. The patient was thus diagnosed with NPPE and treated with non-invasive mechanical ventilation, intravenous furosemide and inhaled short-acting beta-agonists. Significant recov-ery was observed in a couple of days, and the patient discharged after his respiratory symptoms abated. NPPE should immediately be suspected in individuals who develop respiratory failure following extubation, as it can be life threatening.

Keywords: Acute respiratory failure, negative pressu-re pulmonary edema, non-cardiac pulmonary edema.

Olgunun Grnt Kesitleri




Baak Saynalp, Ouz Abdullah Uyarolu. A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema. Respir Case Rep. 2022; 11(2): 69-72

Sorumlu Yazar: Baak Saynalp, Trkiye
Makale Dili: ngilizce
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