Abstract
A 5.5-month-old girl, who had no known disease, was checked by her mother after sleep, and was found in her bed while she was unconscious and bleeding from her nose. History, physical examination, laboratory results, chest x-ray and clinical findings were thought to be compatible with postobstructive pulmonary edema. The patient was started with reservoir, non-breathing oxygen 15 L/min and empiric sulperazone. Her clinical findings improved within 24-48 hours and oxygen therapy was discontinued. On the 3rd day of treatment, she was transferred to the general child service for follow-up and continuation of the treatment. Postobstructive pulmonary edema in children is a rare but urgent and life-threatening condition. Early diagnosis and treatment is life-saving, maintaining the airway and ensuring oxygenation is the main goal.
Keywords
References
- Austin AL, Kon A, Matteucci MJ. Respiratory Failure in a Child Due to Type 2 Postobstructive Pulmonary Edema. Pediatr Emerg Care. 2016;32:23-4.
- Galvis AG. Pulmonary edema complicating relief of upper airway obstruction. Am J Emerg Med. 1987;5:294-7.
- McConkey PP. Postobstructive pulmonary edema--a case series and review. Anaesth Intensive Care. 2000;28:72-6.
- Oswalt CE, Gates GA, Holstrom FMG. Pulmonary edema as a complication of acute airway obstruction. JAMA. 1977;238:1833-5.
- Buda AJ, Pinsky MR, Ingels NB Jr, Daughters 2nd GT, Stinson EB, Alderman EL. Effect of intrathoracic pressure on left ventricular performance, N Engl J Med. 1979;301:453e459
- Lang SA, Duncan PG, Shephard DA, Ha HC. Pulmonary edema associated with airway obstruction, Can J Anesth. 1990;37:210e218.
- Kollef MH, Pluss J. Noncardiogenic pulmonary edema following upper airway obstruction. Medicine 1991;70:91e98.
- Tami TA, Chu F, Wildes TO, Kaplan M. Pulmonary edema and acute upper airway obstruction. Laryngoscope. 1986;96:506-9.
- Fremont RD, Kallet RH, Matthay MA, Ware LB. Postobstructive pulmonary edema: a case for hydrostatic mechanisms. Chest. 2007;131:1742–46
- Chen IC, Chen KH, Tseng CM, Hsu JH, Wu JR, Dai ZK. Croup-induced postobstructive pulmonary edema. Kaohsiung J Med Sci. 2010;26:567-70.
- Gluecker T, Capasso P, Schnyder P, Gudinchet F, Schaller MD, Revelly JP et al. Clinical and radiologic feautres of pulmonary edema. RadioGraphics. 1999;19:1507-3.1
- Louis PJ, Fernandes R. Negative pressure pulmonary edema. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:4-6.
- Fremont RD, Kallet RH, Matthay MA, Ware RB. Postobstructive pulmonary edema: a case for hydrostatic mechanisms. Chest. 2007;131:1742-6.
- Timby J, Reed C, Zeilender S, Glauser FL. “Mechanical” causes of pulmonary edema. Chest. 1990;98:973-9.
- Zulueta JJ, Gerblich AA. Upper airway obstruction due to inhalation of a tracheal T-tube resulting in pulmonary edema. Chest. 1992;102:644-5.
- Stuth EA, Stucke AG, Berens RJ. Negative-pressure pulmonary edema in a child with hiccups during induction. Anesthesiology 2000;93:282-4.
- Travis KW, Todres ID, Shannon DC. Pulmonary edema associated with croup and epiglottitis. Pediatrics 1977;59:695-8.
Abstract
Özgeçmişinde bilinen bir hastalığı olmayan 5,5 aylık kız hasta uyku sonrası annesi tarafından kontrol edilirken yatağında yüzüstü baygın şekilde burnundan kan gelirken bulunmuş idi. Öykü, fizik muayene, laboratuvar sonuçları, akciğer grafisi ve klinik bulgularının negatif basınçlı pulmoner ödemle uyumlu düşünüldü. Hastaya rezervuarlı geri solumasız oksijen 15 L/dk ve ampirik sulperazon başlandı. Takibinde 24-48 saat içinde klinik bulguları düzeldi ve oksijen tedavisi kesildi. Tedavinin 3. Gününde takip ve tedavinin devamı için genel çocuk servisine devredildi. Çocuklarda negatif basınçlı pulmoner ödem nadir görülen fakat acil ve hayatı tehdit edebilen bir durumdur. Erken tanı ve tedavinin hayat kurtarıcı olup, hava yolunun korunup, oksijenasyonun sağlanması temel hedeftir.
Keywords
References
- Austin AL, Kon A, Matteucci MJ. Respiratory Failure in a Child Due to Type 2 Postobstructive Pulmonary Edema. Pediatr Emerg Care. 2016;32:23-4.
- Galvis AG. Pulmonary edema complicating relief of upper airway obstruction. Am J Emerg Med. 1987;5:294-7.
- McConkey PP. Postobstructive pulmonary edema--a case series and review. Anaesth Intensive Care. 2000;28:72-6.
- Oswalt CE, Gates GA, Holstrom FMG. Pulmonary edema as a complication of acute airway obstruction. JAMA. 1977;238:1833-5.
- Buda AJ, Pinsky MR, Ingels NB Jr, Daughters 2nd GT, Stinson EB, Alderman EL. Effect of intrathoracic pressure on left ventricular performance, N Engl J Med. 1979;301:453e459
- Lang SA, Duncan PG, Shephard DA, Ha HC. Pulmonary edema associated with airway obstruction, Can J Anesth. 1990;37:210e218.
- Kollef MH, Pluss J. Noncardiogenic pulmonary edema following upper airway obstruction. Medicine 1991;70:91e98.
- Tami TA, Chu F, Wildes TO, Kaplan M. Pulmonary edema and acute upper airway obstruction. Laryngoscope. 1986;96:506-9.
- Fremont RD, Kallet RH, Matthay MA, Ware LB. Postobstructive pulmonary edema: a case for hydrostatic mechanisms. Chest. 2007;131:1742–46
- Chen IC, Chen KH, Tseng CM, Hsu JH, Wu JR, Dai ZK. Croup-induced postobstructive pulmonary edema. Kaohsiung J Med Sci. 2010;26:567-70.
- Gluecker T, Capasso P, Schnyder P, Gudinchet F, Schaller MD, Revelly JP et al. Clinical and radiologic feautres of pulmonary edema. RadioGraphics. 1999;19:1507-3.1
- Louis PJ, Fernandes R. Negative pressure pulmonary edema. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:4-6.
- Fremont RD, Kallet RH, Matthay MA, Ware RB. Postobstructive pulmonary edema: a case for hydrostatic mechanisms. Chest. 2007;131:1742-6.
- Timby J, Reed C, Zeilender S, Glauser FL. “Mechanical” causes of pulmonary edema. Chest. 1990;98:973-9.
- Zulueta JJ, Gerblich AA. Upper airway obstruction due to inhalation of a tracheal T-tube resulting in pulmonary edema. Chest. 1992;102:644-5.
- Stuth EA, Stucke AG, Berens RJ. Negative-pressure pulmonary edema in a child with hiccups during induction. Anesthesiology 2000;93:282-4.
- Travis KW, Todres ID, Shannon DC. Pulmonary edema associated with croup and epiglottitis. Pediatrics 1977;59:695-8.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Studies |
| Authors | |
| Publication Date | April 6, 2021 |
| Submission Date | December 28, 2020 |
| Published in Issue | Year 2021 Volume: 35 Issue: 1 |