Solunum Yetmezli�inin Nadir Bir Nedeni: Negatif Bas�n�l� Pulmoner �dem

Say�nalp, Ba�ak; Uyaro�lu, O�uz Abdullah

Cilt : 13 Say� : 3 Y�l : 2024

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Solunum Yetmezli�inin Nadir Bir Nedeni: Negatif Bas�n�l� Pulmoner �dem [Respir Case Rep]

Respir Case Rep. 2022; 11(2): 69-72 | DOI: 10.5505/respircase.2022.56823

Solunum Yetmezli�inin Nadir Bir Nedeni: Negatif Bas�n�l� Pulmoner �dem

Ba�ak Say�nalp¹, O�uz Abdullah Uyaro�lu²
¹Hacettepe �niversitesi T�p Fak�ltesi, �� Hastal�klar� Anabilim Dal�, Ankara
²Hacettepe �niversitesi T�p Fak�ltesi, �� Hastal�klar� Anabilim Dal�, Genel Dahiliye Bilim Dal�, Ankara

Bu olgu sunumunda, elektif artroskopik i�lem sonras� nefes darl�� geli�en, negatif bas�n�l� pulmoner �dem (NBP�) tan�s� konan ve ba�ar�yla tedavi edilen bir hasta sunulmu�tur. Yirmi dokuz ya��nda, herhangi bir t�bbi �yk�s� olmayan erkek hasta, askeri operasyon s�ras�nda geli�en rotator man�et y�rt�� nedeniyle hastanemize ba�vurdu. Genel anestezi alt�nda artroskopik i�lem yap�ld�. Ancak hastada ekst�basyondan 2 saat sonra dispne geli�ti. Hastada sat�rasyon d��kl�� ve takipne ile birlikte ve k�p�kl� pembe balgam g�r�ld�. Bilgisayarl� tomografi pulmoner anjiyografide tromboemboli saptanmay�p, her iki akci�erde kardiyojenik olmayan pulmoner �dem d��nd�ren yayg�n buzlu cam opasiteleri saptand�. Hasta NBP� tan�s� konularak invazif olmayan mekanik ventilasyon, intraven�z furosemid ve inhale k�sa etkili betaagonistler ile tedavi edildi. Birka� g�n i�inde belirgin bir iyile�me g�r�len hasta herhangi bir solunum semptomu olmadan taburcu edildi. Ekst�basyon sonras� solunum yetmezli�i geli�en ki�ilerde hayat� tehdit edici bir tablo olan NBP� akla gelmelidir.

Anahtar Kelimeler: Akut solunum yetmezli�i, negatif bas�n�l� pulmoner �dem, kardiyojenik olmayan pul-moner �dem.

A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema

Ba�ak Say�nalp¹, O�uz Abdullah Uyaro�lu²
¹Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, T�rkiye
²Department of General Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, T�rkiye

We report here on the successful management of a patient who developed dyspnea after an elective arthroscopic procedure and who was diagnosed with Negative Pressure Pulmonary Edema (NPPE). A 29-year-old male patient with no known medical history was admitted to our hospital due to a rotator cuff tear sustained during a military operation. An arthroscopic procedure under general anesthesia was performed; however, the patient developed dyspnea 2 hours after extubation. He was desaturated, tachypneic and began to produce frothy pink sputum. Pulmonary computed-tomography angiography revealed wide-spread ground-glass opacities in both lungs suggest-ing non-cardiogenic pulmonary edema without acute pulmonary thromboembolism. The patient was thus diagnosed with NPPE and treated with non-invasive mechanical ventilation, intravenous furosemide and inhaled short-acting beta-agonists. Significant recov-ery was observed in a couple of days, and the patient discharged after his respiratory symptoms abated. NPPE should immediately be suspected in individuals who develop respiratory failure following extubation, as it can be life threatening.

Keywords: Acute respiratory failure, negative pressu-re pulmonary edema, non-cardiac pulmonary edema.

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Ba�ak Say�nalp, T�rkiye
Makale Dili: �ngilizce

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