Negatif Bas�n�l� Akci�er �demi ve �nvazif Mekanik Ventilasyonda APRV Modu: Olgu Sunumu

Aktiz B��ak, Esra; Korhan, Zeki; B��ak, Mustafa; Uzundere, Osman; Ka�ar, Cem K�v�lc�m; Yekta�, Abdulkadir

Cilt : 13 Say� : 3 Y�l : 2024

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Negatif Bas�n�l� Akci�er �demi ve �nvazif Mekanik Ventilasyonda APRV Modu: Olgu Sunumu [Respir Case Rep]

Respir Case Rep. 2020; 9(2): 91-95 | DOI: 10.5505/respircase.2020.04557

Negatif Bas�n�l� Akci�er �demi ve �nvazif Mekanik Ventilasyonda APRV Modu: Olgu Sunumu

Esra Aktiz B��ak, Zeki Korhan, Mustafa B��ak, Osman Uzundere, Cem K�v�lc�m Ka�ar, Abdulkadir Yekta�
TC.SB�. Gazi Ya�argil EAH, Diyarbak�r, Anesteziyoloji ve Reanimasyon klini�i

Negatif bas�n�l� pulmoner �dem �st solunum yolunda meydana gelen akut t�kan�kl�k sonras� veya kronik t�kan�kl��n kalkmas�na sekonder geli�ebilen bir durumdur. Biz bu olgu sunumunda apendektomi sonras� geli�en negatif bas�n�l� pulmoner �dem sonras� geli�en �iddetli hipoksi i�in APRV modunun ba�ar�l� y�netimini bildiriyoruz. Bilinen sistemik bir hastal�k �yk�s� olmayan, 33 ya��nda, 85 kilo a��rl��nda, erkek hastaya akut apandisit �n tan�s� nedeniyle genel cerrahi klini�ince apendektomi operasyonu planland�. Apendektomi ameliyat�na al�nd� ve sonras�nda ciddi laringospazm ve �iddetli inspiratuvar efor geli�ti. Negatif bas�n�l� akci�er �demi geli�en hasta APRV moduyla tedavi edilerek operasyon sonras� 5. g�nde servise verildi. �nvaziv mekanik ventilasyonda hipoksinin d�zeltilemedi�i olgularda APRV modu kullan�m�n�n hipoksiyi dramatik �ekilde d�zeltti�ini d��nmekteyiz.

Anahtar Kelimeler: negatif bas�n�l� akci�er �demi, airway pressure relesing ventilation, aspirasyon pn�monisi, apandektomi

Negative Pressure Pulmonary Edema and APRV Mode in Invasive Mechanical Ventilation: A Case Report

Esra Aktiz B��ak, Zeki Korhan, Mustafa B��ak, Osman Uzundere, Cem K�v�lc�m Ka�ar, Abdulkadir Yekta�
TR. HSU. Gazi Ya�argil TRH, Diyarbak�r, Department of Anesthesiology and Reanimation

Negative pressure pulmonary edema is a condition that may develop after an acute obstruction in the upper respiratory tract, or may occur secondary to the elimination of a chronic obstruction. In this case study, we report on the successful management of the APRV mode for severe hypoxia developing after a negative pressure pulmonary edema that developed after an appendectomy. An appendectomy operation was planned by the general surgery clinic for a 33-year-old male patient weighing 85 kg with no known systemic disease history, due to a preliminary diagnosis of acute appendicitis. The patient underwent an appendectomy, after which severe laryngospasm and severe inspiratory effort developed. The patient, who developed a negative pressure pulmonary edema, was treated with the APRV mode and taken to the service on day 5 following the operation. We believe that the use of the APRV mode can dramatically improve hypoxia in cases where hypoxia cannot be corrected in invasive mechanical ventilation.

Keywords: negative pressure pulmonary edema, airway pressure release ventilation, aspiration pneumonia, appendectomy

Sorumlu Yazar: Abdulkadir Yekta�, T�rkiye
Makale Dili: T�rk�e

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