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Year : 2020  |  Volume : 3  |  Issue : 1  |  Page : 49-51

Delayed presentation of negative pressure pulmonary oedema

1 Department of Anesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab, India
2 Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India

Correspondence Address:
Dr. Navneh Samagh
Department of Anesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ARWY.ARWY_5_20

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Negative pressure pulmonary oedema (NPPO) is a life-threatening complication occurring due to large negative intrathoracic pressures created by inspiration against a closed glottis. Timely diagnosis and management is important to prevent any fatal outcome. Although it presents acutely most of the time, its presentation may rarely be delayed. We present a case of a 21-year-old female weighing 40 kg who developed NPPO 1.5 h after warding in the post-anaesthesia care unit. Despite the delayed presentation, she was diagnosed in a timely manner and managed successfully. This case emphasises the need for extended monitoring of all patients with any respiratory difficulty in the perioperative period for delayed development of NPPO.

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