Negative pressure pulmonary edema after percutaneous endoscopic interlaminar lumbar discectomy-a case report.
BMC Musculoskelet Disord
; 19(1): 401, 2018 Nov 14.
Article
en En
| MEDLINE
| ID: mdl-30428864
ABSTRACT
BACKGROUND:
Negative pressure pulmonary edema (NPPE) is a rare complication that is more prevalent in young patients. NPPE usually results from acute upper airway obstruction, which is most commonly caused by laryngospasm during extubation. NPPE is characterized by the sudden onset of coughing, hemoptysis, tachycardia, tachypnea, and hypoxia, and is dramatically improved with supportive care, which prevents severe sequelae. To our knowledge, there is no report of a patient developing NPPE after percutaneous endoscopic interlaminar lumbar discectomy. CASE PRESENTATION Herein, we report the case of a 22-year-old amateur basketball player with L5/S1 disc herniation who developed NPPE during extubation after general anesthesia for a minimally invasive spinal surgery (percutaneous endoscopic interlaminar lumbar discectomy). The NPPE was treated by maintaining the airway patency, applying positive-pressure ventilation, administering dexamethasone and antibiotics, and limiting the volume of fluid infused. The patient had an uneventful postoperative course, and was discharged to his home on postoperative day 3.CONCLUSIONS:
Although NPPE is an infrequent complication, especially in patients undergoing percutaneous endoscopic interlaminar lumbar discectomy, this case report highlights the importance of early diagnosis and prompt treatment of NPPE to prevent the development of potentially fatal complications.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Edema Pulmonar
/
Discectomía Percutánea
/
Endoscopía
/
Desplazamiento del Disco Intervertebral
/
Vértebras Lumbares
Tipo de estudio:
Etiology_studies
/
Screening_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
BMC Musculoskelet Disord
Asunto de la revista:
FISIOLOGIA
/
ORTOPEDIA
Año:
2018
Tipo del documento:
Article
País de afiliación:
China