Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and Review

Negative pressure pulmonary oedema (NPPO) is a rare but serious complication for patients undergoing general anaesthesia. It often presents a diagnostic dilemma, thus posing significant management challenges. Despite the complexity of diagnosis, the pathophysiology and management of NPPO have been...

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Main Authors: Wing Hoh Loo, Kay Mint Goh
Format: Article
Language:English
Published: Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC) 2025-01-01
Series:The Journal of Medicine, Law & Public Health
Subjects:
Online Access:https://jmlph.net/index.php/jmlph/article/view/175
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author Wing Hoh Loo
Kay Mint Goh
author_facet Wing Hoh Loo
Kay Mint Goh
author_sort Wing Hoh Loo
collection DOAJ
description Negative pressure pulmonary oedema (NPPO) is a rare but serious complication for patients undergoing general anaesthesia. It often presents a diagnostic dilemma, thus posing significant management challenges. Despite the complexity of diagnosis, the pathophysiology and management of NPPO have been extensively studied. We present a case of NPPO in a middle-aged obese patient with high perioperative cardiac risk who underwent an emergency open appendicectomy. This case report details the anaesthetic approach to managing the patient’s complex comor-bidities, the series of events leading to the diagnosis, and subsequently the management of NPPO. We dis-cuss the challenges encountered in diagnosing and managing NPPO, and review potential preventive measures. Our conclusion underscores that diagnosis of NPPO remains challenging, and early identification of patients at risk with vigilant monitoring is crucial for timely diagnosis and effective management.  
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institution Kabale University
issn 2788-9815
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language English
publishDate 2025-01-01
publisher Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)
record_format Article
series The Journal of Medicine, Law & Public Health
spelling doaj-art-3e1930b8e1764411955436bc962235992025-01-30T12:38:35ZengRiyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)The Journal of Medicine, Law & Public Health2788-98152788-791X2025-01-0152Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and ReviewWing Hoh Loo0Kay Mint Goh1Department of Anaesthesiology and Critical Care, Hospital Sungai BulohDepartment of Anaesthesiology and Critical Care, Hospital Ampang Negative pressure pulmonary oedema (NPPO) is a rare but serious complication for patients undergoing general anaesthesia. It often presents a diagnostic dilemma, thus posing significant management challenges. Despite the complexity of diagnosis, the pathophysiology and management of NPPO have been extensively studied. We present a case of NPPO in a middle-aged obese patient with high perioperative cardiac risk who underwent an emergency open appendicectomy. This case report details the anaesthetic approach to managing the patient’s complex comor-bidities, the series of events leading to the diagnosis, and subsequently the management of NPPO. We dis-cuss the challenges encountered in diagnosing and managing NPPO, and review potential preventive measures. Our conclusion underscores that diagnosis of NPPO remains challenging, and early identification of patients at risk with vigilant monitoring is crucial for timely diagnosis and effective management.   https://jmlph.net/index.php/jmlph/article/view/175AnaestheticsAnaesthesia General, ObesityPulmonary Oedema
spellingShingle Wing Hoh Loo
Kay Mint Goh
Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and Review
The Journal of Medicine, Law & Public Health
Anaesthetics
Anaesthesia
General, Obesity
Pulmonary Oedema
title Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and Review
title_full Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and Review
title_fullStr Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and Review
title_full_unstemmed Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and Review
title_short Challenges Associated with Negative Pressure Pulmonary Oedema: A Case Report and Review
title_sort challenges associated with negative pressure pulmonary oedema a case report and review
topic Anaesthetics
Anaesthesia
General, Obesity
Pulmonary Oedema
url https://jmlph.net/index.php/jmlph/article/view/175
work_keys_str_mv AT winghohloo challengesassociatedwithnegativepressurepulmonaryoedemaacasereportandreview
AT kaymintgoh challengesassociatedwithnegativepressurepulmonaryoedemaacasereportandreview