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Negative-pressure pulmonary edema following maxillofacial surgery: recognize to prevent further complications

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Abstract

Negative-pressure pulmonary edema (NPPE) is a rare respiratory complication due to acute upper airway obstruction occurring shortly after extubation. We report a case of NPPE in young adult patient who underwent an eventful general anesthesia. The patient presented laryngospasm followed by acute respiratory distress with pink frothy sputum. The NPPE was initially misdiagnosed, and a preventable tracheostomy was performed. NPPE was managed with mechanical ventilation and diuretics, and the patient had full recovery. Every anesthesiologist should be aware of the diagnosis of NPPE. Early recognition and management are essential to prevent the morbidity associated with NPPE in young healthy patients.

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Authors and Affiliations

  1. Department of Anesthesiology and Intensive Care, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Mrezga, Nabeul, 8000, Tunisia

    Becem Trabelsi, Azza Yedes, Hadhami Abdouli, Issam Mahouachi, Mohamed Ridha Saied & Mechaal Ben Ali

  2. Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine of Tunis, Taher Maamouri Teaching Hospital, University of Tunis El Manar, Nabeul, Tunisia

    Ghada Kharrat

Authors
  1. Becem Trabelsi
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  2. Azza Yedes
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  3. Ghada Kharrat
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  4. Hadhami Abdouli
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  5. Issam Mahouachi
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  6. Mohamed Ridha Saied
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  7. Mechaal Ben Ali
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Contributions

B. T. wrote the main manuscript text. A. Y., G. K., H. A, I. M., and MR. S. managed the patient and revised the manuscript. M. BA. provided final approval of the version to be published.

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Correspondence to Becem Trabelsi.

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A written patient consent was obtained.

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The authors declare no competing interests.

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Trabelsi, B., Yedes, A., Kharrat, G. et al. Negative-pressure pulmonary edema following maxillofacial surgery: recognize to prevent further complications. Oral Maxillofac Surg 28, 447–449 (2024). https://doi.org/10.1007/s10006-022-01122-6

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  • DOI: https://doi.org/10.1007/s10006-022-01122-6

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