KUMJ | VOL. 23 | NO. 4 | ISSUE 92 | OCTOBER-DECEMBER

Negative Pressure Pulmonary Edema Following Septorhinoplasty
Shrestha BR, Bajracharya A, Shrestha A

Abstract:
Negative pressure pulmonary edema (NPPE) is a potentially fatal entity manifesting subsequent to general anesthesia. Pronounced inspiratory efforts against the obstructed upper airway leads to excessive negative intrathoracic pressure causing pulmonary edema with hypoxia, hypercarbia, acidosis, and hyperadrenergic state further contributes to its development. Careful management of the cases with risk factors, early recognition and prompt treatment remains the key to prevent morbidity and mortality. We discuss a case of a 36 year old female who developed negative pressure pulmonary edema following general anesthesia for septorhinoplasty, discussing its approach, treatment considerations, and outcomes.
Keyword : Anesthesia, Negative Pressure, Obesity, Pulmonary edema, Respiratory Distress Syndrome