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CASE REPORT
Year : 2007  |  Volume : 51  |  Issue : 5  |  Page : 429

Rapid Onset Acute Epiglottitis Leading to Negative Pressure Pulmonary Edema


1 M.D.,Prof. and Head, Department of Anaesthesiology and Critical Care, Command Hospital (Air Force) Airport Road, Bangalore, India
2 M.D., Lecturer, Department of Anaesthesiology and Critical Care, Command Hospital (Air Force) Airport Road, Bangalore, India
3 M.D. Sr.Resident, Department of Anaesthesiology and Critical Care, Command Hospital (Air Force) Airport Road, Bangalore, India

Correspondence Address:
V Saraswat
Prof and Head, Department of Anesthesiology and Critical Care Command Hospital (Air Force) Airport Road, Bangalore-560007
India
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Source of Support: None, Conflict of Interest: None


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Pulmonary edema is a potentially life-threatening complication of acute airway obstruction. It develops rapidly, without warning, in young healthy individuals. Two forms of post-obstructive pulmonary edema (POPE) (also known as negative pressure pulmonary edema, NPPE) have been identified. POPE I follows sudden, severe upper airway obstruction. POPE II occurs following surgical relief of chronic upper airway obstruction. Treatment for both is supportive. Full and rapid recovery can be expected with appropriate management. A case report of a middle aged man with acute onset epiglottitis who developed negative pressure pulmonary edema after intubation is presented. The report includes a brief discussion on etiology, clinical features and management dilemma of acute upper airway obstruction.


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