Negative pressure pulmonary edema may present as acute left ventricular failure: a case report

  • Rasanee Upendra Wanigasuriya enior Registrar in Critical Care Medicine, Colombo South Teaching Hospital, (Sri Lanka)
  • Asoka Gunaratne Consultant Anesthesiologist, Colombo South Teaching Hospital, (Sri Lanka)
  • Aruna Gunapala Consultant Physician, Colombo South Teaching Hospital, (Sri Lanka)
Keywords: Negative pressure pulmonary edema, acute left ventricular failure, goiter

Abstract

Negative pressure pulmonary edema (NPPE) also known as post obstructive pulmonary edema is a potentially life threatening condition with a multifocal pathogenesis. Type 1 NPPE is due to forceful inspiratory effort in the context of an acute airway obstruction, while Type 2 NPPE occurs after relief of a chronic partial upper airway obstruction. Once developed, it impairs gas exchange and causes hypoxemia and if not treated promptly may lead to respiratory failure. The diagnosis of negative pressure pulmonary edema is usually made on the basis of a history of a precipitating incident and symptoms. However, it is basically a diagnosis of exclusion. We present here a case of negative pressure pulmonary edema, which presented as acute left ventricular failure. The cause was eventually found to be acute airway obstruction due to an obstructive goiter precipitated by an upper respiratory tract infection.

 

Published
01-20-2019
How to Cite
Wanigasuriya, R. U., Gunaratne, A., & Gunapala, A. (2019). Negative pressure pulmonary edema may present as acute left ventricular failure: a case report. Anaesthesia, Pain & Intensive Care, 98-101. Retrieved from https://apicareonline.com/index.php/APIC/article/view/146
Section
Case Reports