Negative Pressure Pulmonary
A 23yo football player had a significant episode of laryngospasm following
tonsillectomy which was treated with positive pressure and lidocaine. He
is now desaturating in the PACU.
- What is your diagnosis?
- What is the pathophysiology
of this disorder?
- What is your treatment plan?
Assume that he maintains a saturation of 90%...what do you do? What
if he desaturates to 70%?
References: (note, all residents should have access to Anesthesiology
articles online if they receive the journal. Many other journals are
available with a USF account through MD Consult...just access it from the
departmental home page)
A, Liaudet L, Aubert J, et al. Negative pressure post-tracheal extubation
alveolar hemorrhage. Anesth Analg 2001;92:273-5
Last updated 5/27/03
by Roy G. Soto, M.D.
2003, Roy G. Soto, M.D., and the University of South Florida College of Medicine,
Department of Anesthesiology