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Complicated negative pressure pulmonary oedema in a child with cerebral palsy
Author(s) -
TAHA SAMAR,
BARTELMAOS TONINE,
KASSAS CHADI,
KHATIB MOHAMAD,
BARAKA ANIS
Publication year - 2002
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2002.00814.x
Subject(s) - medicine , laryngospasm , anesthesia , cerebral palsy , airway obstruction , pulmonary edema , mechanical ventilation , airway , spasticity , surgery , lung , physical therapy
A 3‐year‐old child with cerebral palsy developed postextubation upper airway obstruction secondary to laryngospasm and/or masseteric spasm,which may have been triggerred by the muscular spasticity and the slow recovery from inhalational anaesthesia associated with cerebral palsy. This upper airway obstruction was followed by negative pressure pulmonary oedema. The patient improved on mechanical ventilation; however, his condition was complicated with the occurrence of bilateral pneumothoraces. After release of the pneumothoraces and reexpansion of the lungs, the child developed reexpansion pulmonary oedema, culminating in acute lung injury.