Sympathetic Crashing Acute Pulmonary Edema in a Postoperative Case of Pituitary Macroadenoma
We present a case of 58-year-old male operated for pituitary macroadenoma. On the 7th postoperative day, the patient developed sudden-onset breathlessness and desaturation needing ventilatory support. His cardiac function, which was normal preoperatively, deteriorated (ejection fraction 20%) but car...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810604 |
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| Summary: | We present a case of 58-year-old male operated for pituitary macroadenoma. On the 7th postoperative day, the patient developed sudden-onset breathlessness and desaturation needing ventilatory support. His cardiac function, which was normal preoperatively, deteriorated (ejection fraction 20%) but cardiac enzyme levels were normal. Chest X-ray was suggestive of pulmonary edema. His condition stabilized with the use of noninvasive mechanical ventilation, high-dose nitroglycerine (NTG) infusion, and furosemide over the next 12 hours. Cardiac functions improved to baseline after about a week. |
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| ISSN: | 2348-0548 2348-926X |