Pulmonary oedema associated with airway obstruction.

作者: Scott A. Lang , Peter G. Duncan , David A. E. Shephard , Hung C. Ha

DOI: 10.1007/BF03005472

关键词: AirwayAnesthesiaMechanical ventilationEpiglottitisPulmonary hypertensionAirway obstructionMedicineLaryngospasmCroupPulmonary edema

摘要: The purpose of this review is to describe the pathogenesis pulmonary oedema associated with upper airway obstruction, summarize what known its clinical presentation, and reflect upon implications for management obstruction. obstruction multifactorial. However, as phrase "negative pressure oedema" suggests, markedly negative intrapleural dominant pathophysiological mechanism involved in genesis frequency event impossible ascertain from literature but paediatric cases requiring intervention croup or epiglottitis adults emergence laryngospasm tumours account over 50 per cent documented each age group, respectively. Individuals at risk should be observed closely while they remain risk. majority present within minutes either development acute severe relief Resolution typically rapid, a period few hours. Rarely anything more required than maintenance patent airway, supplemental oxygen, and, approximately cases, mechanical ventilation positive end-expiratory pressure.

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