Intrapulmonary Percussive Ventilation for the Acute Pulmonary Edema due to Upper Airway Obstruction: A case report / 대한마취과학회지

ABSTRACT

The etiology of pulmonary edema are myriad. Pulmonary edema is a complication of acute upper airway obstruction secondary to laryngospasm. When pulmonay edema occurs, it usually follows relief of the obstruction. Acute pulmonary edema must be treated promptly among the patients who recover from acute upper airway obstruction. The treatments are fluid restriction, diuretics, steroids, ventilatory assistance to maintain oxygenation. Ventilatory assistance is important and has various methods, but we chosed intrapulmonary percussive ventilation (IPV). It is of benefit to adequate oxygenation without ventilatory induced lung linjury (VILI), easy removal of secretion, intratracheal nebulization with bronchodilator, and patient's comfortness. We present a case of noncardiogenic pulmonary edema that occured in an adult patient following extubation of the trachea caused by a laryngospasm.