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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 26-Year-Old Man With Postextubation Dyspnea and Hemoptysis

Sarath Malepati, MD; Shefali Samant, MD; Kathy E. Sietsema, MD; Timothy L. Van Natta, MD
Author and Funding Information

From the Division of Cardiothoracic Surgery (Dr Malepati); Department of Internal Medicine (Dr Samant); Division of Respiratory and Critical Care Physiology and Medicine (Dr Sietsema); and Division of Cardiothoracic Surgery (Dr Van Natta), Harbor-UCLA Medical Center, Torrance, CA.

Correspondence to: Sarath Malepati, MD, Division of Cardiothoracic Surgery, Department of Surgery, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90502; e-mail: sarath@ppcgv.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;139(3):708-711. doi:10.1378/chest.10-2079
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Extract

A 26-year-old man with no previous medical history was referred to our ED with 2 days of left testicular pain, nausea, and vomiting. Scrotal ultrasound demonstrated left testicular torsion, and the patient was urgently taken for surgical exploration under general anesthesia with endotracheal intubation. Admission cardiopulmonary examination was normal. Laboratory values, including coagulation parameters, were unremarkable.

LorchDGSahnSAPost-extubation pulmonary edema following anesthesia induced by upper airway obstruction. Are certain patients at increased risk?Chest1986906802805TimbyJReedCZeilenderSGlauserFL“Mechanical” causes of pulmonary edemaChest1990984973979WestJBMathieu-CostelloOStress failure of pulmonary capillaries: role in lung and heart diseaseLancet19923408822762767KochSMAbramsonDCFordMPetersonDKatzJBronchoscopic findings in post-obstructive pulmonary oedemaCan J Anaesth19964317376GlueckerTCapassoPSchnyderPClinical and radiologic features of pulmonary edemaRadiographics199919615071531SchwartzDRMarooAMalhotraAKesselmanHNegative pressure pulmonary hemorrhageChest1999115411941197DevysJMBalleauCJayrCBourgainJLBiting the laryngeal mask: an unusual cause of negative pressure pulmonary edemaCan J Anaesth2000472176178MorganGEJrMikhailMSMurrayMJMorganGEJrMikhailMSMurrayMJAirway managementClinical Anesthesiology2006New York, NYMcGraw Hill111FremontRDKalletRHMatthayMAWareLBCase for Hydrostatic MechanismsPostobstructive pulmonary edema: a case for hydrostatic mechanismsChest2007131617421746PapaioannouVTerziIDragoumanisCPneumatikosINegative-pressure acute tracheobronchial hemorrhage and pulmonary edemaJ Anesthesia2009233417420

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