Revista Cubana de Anestesiología y Reanimación
versão On-line ISSN 1726-6718
NAVARRO SANCHEZ, Gustavo; NAVARRETE ZUAZO, Víctor e DOMLOGE FERNANDEZ, J. Edema pulmonar por presión negativa en el paciente obeso mórbido: A propósito de un caso. Rev cuba anestesiol reanim [online]. 2010, vol.9, n.1, pp. 55-59. ISSN 1726-6718.
Introduction: The non-cardiogenic pulmonary edema secondary to a negative pressure is a infrequent complication occurring after the high airway obstruction with a higher presentation rate in children, in a infrequent way in adults and no recounted for the patient presenting with morbid obesity in reviewed bibliography. Objective: To describe the perioperative behavior and the course of a morbid obese patient with pulmonary edema due to negative pressure. Case presentation: Its etiopathogenesis is varied, but is specially emphasized the negative intrathoracic pressure provoked by the spontaneous forced inspiration in a patient with a closed glottis (laryangospasm) resulting in fluid transudation of pulmonary capillaries to alveolointerstitial accompanied by hemorrhage or not. The resultant pulmonary edema appears in a spectacular way few minutes after airway obstruction or in a different way after some hours. This clinical picture potentially severe, habitually respond well to treatment con oxygen therapy, mechanical ventilation with positive pressure and diuretics. Conclusions: It is essential the suspicion diagnosis to adapt the treatment. Our experience with a clinical case of a morbid obese patient presenting with pulmonary acute edema due to negative pressure is presented.
Palavras-chave : Pulmonary edema; negative pressure; morbid obesity.