Extraordinary Delayed-Onset Negative Pressure Pulmonary Hemorrhage Resulting in Cardiac Arrest after General Anesthesia for Vocal Cord Polypectomy.
Masahiro KoideTatsuya KitadaMasaya KogureKento FukuiKoji SogabeYukinori KatoHiroki KitajimaSatoshi AkabamePublished in: Case reports in critical care (2020)
Negative pressure pulmonary edema and hemorrhage are uncommon but potentially life-threatening complications associated with general anesthesia. Postoperative negative pressure pulmonary edema usually occurs immediately after surgery, and delayed-onset cases occurring more than 1 hour after surgery have rarely been reported. A 37-year-old woman with bronchial asthma underwent vocal cord polypectomy under general anesthesia in another hospital and experienced cardiac arrest due to a negative pressure pulmonary hemorrhage occurring 3 hours and 30 minutes after surgery. She was successfully treated with venoarterial extracorporeal membrane oxygenation and completely recovered without any complications. Extraordinary delayed-onset negative pressure pulmonary hemorrhage occurring more than three hours after surgery has rarely been reported. This case may indicate the need for more careful observation of patients following surgery.
Keyphrases
- extracorporeal membrane oxygenation
- cardiac arrest
- pulmonary hypertension
- acute respiratory distress syndrome
- cardiopulmonary resuscitation
- end stage renal disease
- healthcare
- blood pressure
- emergency department
- newly diagnosed
- chronic kidney disease
- patients undergoing
- intensive care unit
- coronary artery bypass
- respiratory failure
- acute coronary syndrome
- peritoneal dialysis
- mechanical ventilation
- adverse drug