Korean J Anesthesiol.
2017 Feb;70(1):95-99. 10.4097/kjae.2017.70.1.95.
Postoperative negative pressure pulmonary edema following repetitive laryngospasm even after reversal of neuromuscular blockade by sugammadex: a case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. jhleesky@naver.com
- KMID: 2402903
- DOI: http://doi.org/10.4097/kjae.2017.70.1.95
Abstract
- Laryngospasm, an occlusion of the glottis, can occur at any time during anesthesia, and is associated with serious perioperative complications such as hypoxia, hypercabia, aspiration, bronchospasm, arrhythmia, prolonged recovery, cardiac collapse, and eventually catastrophic death. Importantly, postoperative negative pressure pulmonary edema (NPPE) is a rare, but well described life-threatening complication related to acute and chronic upper airway obstruction. Sugammadex well known for affirmatively reducing the postoperative pulmonary complications associated with residual neuromuscular blockade may have an indirect role in triggering the negative intrathoracic pressure by raising a rapid and efficacious respiratory muscle strength in acute upper airway obstruction. Herein, we report a case of postoperative NPPE following repetitive laryngospasm even after reversal of rocuronium-induced neuromuscular blockade using sugammadex.
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Cited by 3 articles
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Negative pressure pulmonary edema
Anju Romina Bhalotra
Korean J Anesthesiol. 2018;71(1):71-72. doi: 10.4097/kjae.2018.71.1.71.Adverse events of sugammadex that occurred in a Korean population
Woong Han, Jong Min Lee, Dong Ho Park, Chia An Lee, Chang Yeong Jeong, Hong Seuk Yang
Anesth Pain Med. 2022;17(2):191-198. doi: 10.17085/apm.21096.Severe pulmonary edema occurred during endobronchial ultrasound under monitored anesthesia care - A case report -
Hwan Yong Choi, Hyung Koo Kang, Min Hee Heo, Sang Il Lee, Ji Yeon Kim, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Kyung Woo Kim, Jun Hyun Kim
Anesth Pain Med. 2023;18(4):439-444. doi: 10.17085/apm.23085.
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