A 56 year old female patient belonging to American Society of Anaesthesiologists Physical Status (ASA-PS) 1 underwent emergency laparoscopic appendectomy. Surgery was uneventful. After reversal of the neuromuscular blockade and extubation, patient sustained acute upper airway obstruction due to laryngospasm and developed negative pressure pulmonary oedema, which resolved after a period of about 15 hours of mechanical ventilation.
Guffin TN, Harel G, Sanders A, Lucente FE, Nash M. Acute postoperative pulmonary edema. Otolaryngol Head Neck Surg. 1995; 112:235-7.
Bhaskar B, Fraser JF. Negative pressure pulmonary oedema revisited: pathophysiology and review of management. Saudi J Anaesth 2011; 5:308-13.
Goldenberg JD, Portugal LG, Wenig BL, Weingarten RT. Negative-pressure pulmonary oedema in the otolaryngology patient. Otolaryngol Head Neck Surg 1997; 117:62-6.
Silva PS, Monteiro NH, Andrade MM, Neves CV. Negative-pressure pulmonary oedema: a rare complication of upper airway obstruction in children. Pediatr Emerg Care 2005; 21:751-4.
Zameer MM, Kannan NL, Yadannapudi. Negative pressure pulmonary oedema. Indian J Pediatr 2009; 76:1280-81.
Pathak V, Rendon ISH, Ciubotaru RL. Recurrent negative pressure pulmonary oedema. Clin Med Res 2011; 9:88-91.
Crouser ED, Fahy RJ. Acute lung injury, pulmonary oedema and multiple system organ failure In: Wilkins RL, Stoller JK, Scanlan CL, editors. Egan's fundamentals of respiratory care. 8th edition. Mosby Inc; 2003. p-540-1.
Fremont RD, Kallet RH, Matthay MA, Ware LB. Postobstructive pulmonary oedema: A case for hydrostatic mechanisms. Chest 2007; 131:1742-6.
McConkey PP. Post obstructive pulmonary oedema: A case series and review. Anaesth Intensive Care 2000; 28:72-6.
Afshan G, Chohan G, Qamar-Ul-Hoda M. Is there role of a small dose of propofol in the treatment of laryngeal spasm? Paediatr Anaesth 2002; 12:625-8.
Chung DC, Rowbottom SJ. A very small dose of suxamethonium relieves laryngospasm. Anaesthesia 1993; 48:229-30.
D'souza N, Garg R. Perioperative laryngospasm – Review of literature. The Internet Journal of Anesthesiology 2009;20 Number 1. doi: 10.5580/1f8a.
Orliaguet GA, Gall O, Savoldelli GL, Couloinger V Case Scenario: Perianesthetic management of laryngospasm in children. Anesthesiology 2012; 116:458-71.
Alalami AA, Zestos MM, Baraka AS. Pediatric laryngospasm: prevention and treatment. Curr Opin Anaesthesiol 2009; 22:388-95.