Venkatesh Ramesh, Gautam Preety, Dutta Parul, Bala Preeti
Dr. Shroff's Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi, 110002, India.
J Med Case Rep. 2016 Feb 24;10:39. doi: 10.1186/s13256-016-0820-z.
Negative pressure pulmonary edema is a potentially life-threatening complication after general anesthesia in young healthy individuals that results from upper airway obstruction followed by strong inspiratory effort. It is a known complication after nasal or upper airway surgery. Occurrence of such a life-threatening complication in an eye care setting where advanced intensive care is usually lacking is rare.
A 15-year-old Asian boy presented to our hospital with a penetrating eye injury caused by a pellet. Globe and vitreoretinal exploratory surgery was performed with the patient under general anesthesia. The patient's postoperative course was uneventful immediately after the procedure, but soon he developed negative pressure pulmonary edema.
This case report highlights the importance of early diagnosis and prompt management of negative pressure pulmonary edema to save the life of the patient. Most ophthalmologic surgeries are performed with the patient under regional anesthesia; very few are done with the patient under general anesthesia. Intensive care facilities are needed in such settings for prompt management of such a serious and rare complication.
负压性肺水肿是年轻健康个体全身麻醉后一种潜在的危及生命的并发症，由上呼吸道梗阻后强力吸气努力所致。它是鼻或上呼吸道手术后已知的并发症。在通常缺乏高级重症监护的眼科护理环境中发生这种危及生命的并发症很罕见。
一名15岁亚洲男孩因弹丸导致的穿透性眼外伤前来我院就诊。在全身麻醉下对该患者进行了眼球及玻璃体视网膜探查手术。术后患者的病程在手术刚结束时平稳，但很快他就出现了负压性肺水肿。
本病例报告强调了早期诊断和及时处理负压性肺水肿对挽救患者生命的重要性。大多数眼科手术是在患者接受局部麻醉的情况下进行的；很少在全身麻醉下进行。在此类情况下需要重症监护设施来及时处理这种严重且罕见的并发症。
