Negative Pressure Pulmonary Edema

Question 1

What is negative pressure pulmonary edema

Answer 1

Typically occurs post op after extubation
Occluded or obstructed airway -increased vascular permeability- alveolar and capillary damage, impaired gas exchange

Question 2

Risk factors for NPPE

Answer 2

Surgical procedures: Thyroidectomy, tonsillectomy, mandibular ORIF, tracheal cryosurgery
Non-operative: Laryngeal spasms, ETT occlusion, excessive suction pressures, non-lethal hanging, hiccups

Question 3

S/s of NPPE

Answer 3

Similar to ARDS
Hypoxemia
Respiratory distress
Alveolar hemorrhage

Question 4

Treatment plan for NPPE

Answer 4

Low flow O2
Mechanical ventilation
Bronchodilators and or CPAP
Diuresis