Ikeda-Miyagawa Yasuko, Kihara Takako, Matsuda Rumiko
Masui. 2014 Dec;63(12):1362-5.
We experienced a case of negative pressure pulmonary edema (NPPE) after administration of sugammadex under general anesthesia with LMA Supreme. Sugammadex was administered to a 76-year-old female patient following spontaneous ventilation. Immediately after the administration of sugammadex, laryngospasm occurred, and the patient's oxygen saturation dropped to 70%. About five minutes after the appearance of laryngospasm, she started to breathe spontaneously. However, a chest x-ray at this time showed pulmonary edema We suspected that sugammadex administration had triggered the laryngospasm, causing postoperative NPPE. When selecting a LMA under general anesthesia for airway management, we have to keep in mind the possibility of NPPE followed by laryngospasm.
我们遇到了一例在使用LMA Supreme进行全身麻醉下给予舒更葡糖后发生负压性肺水肿（NPPE）的病例。一名76岁女性患者在自主通气后给予舒更葡糖。给予舒更葡糖后立即发生喉痉挛，患者的血氧饱和度降至70%。喉痉挛出现约五分钟后，她开始自主呼吸。然而，此时的胸部X光片显示有肺水肿。我们怀疑给予舒更葡糖引发了喉痉挛，导致术后NPPE。在全身麻醉下选择LMA进行气道管理时，我们必须牢记发生喉痉挛后继发NPPE的可能性。
