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Negative-pressure pulmonary oedema in a patient undergoing shoulder arthroscopy

An 18-year-old ASA-I patient who underwent elective left shoulder arthroscopy developed severe airway obstruction post-extubation due to fluid extravasation from the shoulder joint into the neck and airway tissue. Re-intubation for relief of obstruction resulted in negative-pressure pulmonary oedema...

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Detalles Bibliográficos
Autores principales: Gogia, Anoop Raj, Bajaj, Jeetendra, Sahni, Ameeta, Saigal, Deepti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3327075/
https://www.ncbi.nlm.nih.gov/pubmed/22529423
http://dx.doi.org/10.4103/0019-5049.93347
Descripción
Sumario:An 18-year-old ASA-I patient who underwent elective left shoulder arthroscopy developed severe airway obstruction post-extubation due to fluid extravasation from the shoulder joint into the neck and airway tissue. Re-intubation for relief of obstruction resulted in negative-pressure pulmonary oedema. The patient was electively ventilated in the intensive care unit and recovered uneventfully. A high index of suspicion along with monitoring of neck circumference can prevent this kind of complication.