关键词: Bedside Lung Ultrasound in Emergency protocol Bedside ultrasound Negative pressure pulmonary oedema Respiratory distress

Mesh : Humans Male Adolescent Pulmonary Edema / diagnostic imaging etiology Anesthesia, General / adverse effects Ultrasonography / methods Point-of-Care Systems Airway Extubation / adverse effects Tympanoplasty / adverse effects methods Postoperative Complications / diagnostic imaging Laryngismus / etiology

来  源:   DOI:10.1177/17504589231193553

Abstract:
UNASSIGNED: Post-extubation negative pressure pulmonary oedema is a rare, potentially life-threatening complication associated with general anaesthesia. Chest radiography is used as a diagnostic tool, but it implies a non-negligible radiation exposure, a very important consideration, especially for the paediatric population. However, lung ultrasound can overcome this problem and can be used to detect postoperative pulmonary complications.
UNASSIGNED: A 16-year-old male was scheduled for tympanoplasty. General anaesthesia was conducted, and after extubation, the patient developed a laryngospasm. On arrival at the post-anaesthetic care unit, the patient started to cough, a pink frothy sputum and hypoxemia were noticed, and auscultation revealed crepitations. A bedside lung ultrasound showed more than three B-lines per intercostal window, suggesting an alveolar-interstitial syndrome.
UNASSIGNED: With this case report, we would like to raise awareness to this clinical entity and demonstrate bedside ultrasound has an important role in the diagnostic and therapeutic assessment during the perioperative period.
摘要:
拔管后负压性肺水肿是一种罕见的,与全身麻醉相关的潜在危及生命的并发症。胸部X线照相被用作诊断工具,但这意味着不可忽视的辐射暴露,一个非常重要的考虑,特别是对于儿科人群。然而,肺部超声可以克服这个问题,可用于检测术后肺部并发症。
一名16岁男性被安排进行鼓室成形术。进行了全身麻醉,拔管后,病人出现了喉痉挛。一到达麻醉后护理室,病人开始咳嗽,出现了粉红色的泡沫痰和低氧血症,听诊显示了起错。床边肺部超声显示每个肋间窗口有三条以上的B线,提示肺泡间质综合征.
有了这个病例报告,我们希望提高对这一临床实体的认识,并证明床旁超声在围手术期的诊断和治疗评估中具有重要作用。
公众号