Negative Pressure Pulmonary Hemorrhage After Laryngospasm During the Postoperative Period

Overview

Journal Acute Crit Care

Specialty Critical Care

Date 2019 Nov 15

PMID 31723885

Citations 4

Authors

In Soo Han

Bo Mi Han

Soo Yeon Jung

Jun Rho Yoon

Eun Yong Chung

Affiliations

Soon will be listed here.

Abstract

Negative pressure pulmonary hemorrhage (NPPH) is an uncommon complication of upper airway obstruction. Severe negative intrathoracic pressure after upper airway obstruction can increase pulmonary capillary mural pressure, which results in mechanical stress on the pulmonary capillaries, causing NPPH. We report a case of acute NPPH caused by laryngospasm in a 25-year-old man during the postoperative period. Causative factors of NPPH include negative pulmonary pressure, allergic rhinitis, smoking, inhaled anesthetics, and positive airway pressure due to coughing. The patient's symptoms resolved rapidly, within 24 hours, with supportive care.

Citing Articles

A Case Report of Anesthesia-induced Diffuse Alveolar Hemorrhage Presenting to the Emergency Department.

Yiu D, Stephens C, McCullough J, Osborn L Clin Pract Cases Emerg Med. 2024; 7(4):227-229.

PMID: 38353189 PMC: 10855281. DOI: 10.5811/cpcem.1381.

A Complex Presentation of Acute Postoperative Negative-Pressure Pulmonary Edema: A Case Report and Review of Literature.

Rudman L, Chambi-Torres J, Chohan F, Aftab M, Cao X, Michel G Cureus. 2023; 15(7):e42152.

PMID: 37602134 PMC: 10438953. DOI: 10.7759/cureus.42152.

Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report.

Jo Y, Hwang J, Lee J, Kang H, Hong B J Med Case Rep. 2021; 15(1):137.

PMID: 33722271 PMC: 7962387. DOI: 10.1186/s13256-021-02697-6.

Unilateral pulmonary hemorrhage caused by negative pressure pulmonary edema: A case report.

Park H, Park S, Woo U, Cho S, Jeon W, Shin W World J Clin Cases. 2021; 9(6):1408-1415.

PMID: 33644209 PMC: 7896690. DOI: 10.12998/wjcc.v9.i6.1408.

References

Patel A, Bersten A . Pulmonary haemorrhage associated with negative-pressure pulmonary oedema: a case report. Crit Care Resusc. 2006; 8(2):115-6. View

Park M . Diffuse alveolar hemorrhage. Tuberc Respir Dis (Seoul). 2013; 74(4):151-62. PMC: 3651925. DOI: 10.4046/trd.2013.74.4.151. View

Koch S, Abramson D, Ford M, Peterson D, Katz J . Bronchoscopic findings in post-obstructive pulmonary oedema. Can J Anaesth. 1996; 43(1):73-6. DOI: 10.1007/BF03015962. View

Papaioannou V, Terzi I, Dragoumanis C, Pneumatikos I . Negative-pressure acute tracheobronchial hemorrhage and pulmonary edema. J Anesth. 2009; 23(3):417-20. DOI: 10.1007/s00540-009-0757-0. View

Broccard A, Liaudet L, Aubert J, Schnyder P, Schaller M . Negative pressure post-tracheal extubation alveolar hemorrhage. Anesth Analg. 2001; 92(1):273-5. DOI: 10.1097/00000539-200101000-00055. View

Mulkey Z, Yarbrough S, Guerra D, Roongsritong C, Nugent K, Phy M . Postextubation pulmonary edema: a case series and review. Respir Med. 2008; 102(11):1659-62. DOI: 10.1016/j.rmed.2008.07.002. View

Khanna A, Cummings 3rd K . Pulmonary hemorrhage in an outpatient ophthalmic anesthesia setting - it's never "just a cataract". J Anaesthesiol Clin Pharmacol. 2012; 28(4):520-3. PMC: 3511956. DOI: 10.4103/0970-9185.101947. View

Olsson G, HALLEN B . Laryngospasm during anaesthesia. A computer-aided incidence study in 136,929 patients. Acta Anaesthesiol Scand. 1984; 28(5):567-75. DOI: 10.1111/j.1399-6576.1984.tb02121.x. View

West J, Tsukimoto K, Mathieu-Costello O, Prediletto R . Stress failure in pulmonary capillaries. J Appl Physiol (1985). 1991; 70(4):1731-42. DOI: 10.1152/jappl.1991.70.4.1731. View

10.

Schwartz D, Maroo A, Malhotra A, Kesselman H . Negative pressure pulmonary hemorrhage. Chest. 1999; 115(4):1194-7. DOI: 10.1378/chest.115.4.1194. View

11.

Saeed A, Quintana C, McGuire F, Barker J . Delayed presentation: negative pressure pulmonary hemorrhage. J Clin Anesth. 2012; 24(6):490-3. DOI: 10.1016/j.jclinane.2012.02.001. View

12.

Kim C, Liu R, Hsia D . Diffuse alveolar hemorrhage induced by sevoflurane. Ann Am Thorac Soc. 2014; 11(5):853-5. DOI: 10.1513/AnnalsATS.201402-067LE. View

13.

Davidson S, Guinn C, Gacharna D . Diagnosis and treatment of negative pressure pulmonary edema in a pediatric patient: a case report. AANA J. 2004; 72(5):337-8. View

14.

Lara A, Schwarz M . Diffuse alveolar hemorrhage. Chest. 2010; 137(5):1164-71. DOI: 10.1378/chest.08-2084. View

15.

Hart N, Mushlin P . Negative pressure induced airway and pulmonary injury. Can J Anaesth. 1997; 44(1):78-81. DOI: 10.1007/BF03014328. View