Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by Sugammadex

Negative pressure pulmonary edema (NPPE) is a rare complication that accompanies general anesthesia, especially after extubation. We experienced a case of negative pressure pulmonary edema after tracheal extubation following reversal of rocuronium-induced neuromuscular blockade by sugammadex. In thi...

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Main Authors: Manzo Suzuki, Toshiichiro Inagi, Takehiko Kikutani, Takuya Mishima, Hiroyasu Bito
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2014/135032
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author Manzo Suzuki
Toshiichiro Inagi
Takehiko Kikutani
Takuya Mishima
Hiroyasu Bito
author_facet Manzo Suzuki
Toshiichiro Inagi
Takehiko Kikutani
Takuya Mishima
Hiroyasu Bito
author_sort Manzo Suzuki
collection DOAJ
description Negative pressure pulmonary edema (NPPE) is a rare complication that accompanies general anesthesia, especially after extubation. We experienced a case of negative pressure pulmonary edema after tracheal extubation following reversal of rocuronium-induced neuromuscular blockade by sugammadex. In this case, the contribution of residual muscular block on the upper airway muscle as well as large inspiratory forces created by the respiratory muscle which has a low response to muscle relaxants, is suspected as the cause.
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institution Kabale University
issn 2090-6382
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Anesthesiology
spelling doaj-art-a3d2db81aa9c45158defa6018c0baf972025-02-03T01:10:29ZengWileyCase Reports in Anesthesiology2090-63822090-63902014-01-01201410.1155/2014/135032135032Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by SugammadexManzo Suzuki0Toshiichiro Inagi1Takehiko Kikutani2Takuya Mishima3Hiroyasu Bito4Department of Anesthesiology, Musashikosugi Hospital, Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kanagawa 211-8533, JapanDepartment of Anesthesiology, Musashikosugi Hospital, Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kanagawa 211-8533, JapanDepartment of Anesthesiology, Higashitotuka Memorial Hospital, 548-7 Shinano-cho, Totsuka-ku, Yokohama-shi, Kanagawa 244-0801, JapanDepartment of Surgery, Higashitotuka Memorial Hospital, 548-7 Shinano-cho, Totuka-ku, Yokohama-shi, Kanagawa 244-0801, JapanDepartment of Anesthesiology, Musashikosugi Hospital, Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kanagawa 211-8533, JapanNegative pressure pulmonary edema (NPPE) is a rare complication that accompanies general anesthesia, especially after extubation. We experienced a case of negative pressure pulmonary edema after tracheal extubation following reversal of rocuronium-induced neuromuscular blockade by sugammadex. In this case, the contribution of residual muscular block on the upper airway muscle as well as large inspiratory forces created by the respiratory muscle which has a low response to muscle relaxants, is suspected as the cause.http://dx.doi.org/10.1155/2014/135032
spellingShingle Manzo Suzuki
Toshiichiro Inagi
Takehiko Kikutani
Takuya Mishima
Hiroyasu Bito
Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by Sugammadex
Case Reports in Anesthesiology
title Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by Sugammadex
title_full Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by Sugammadex
title_fullStr Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by Sugammadex
title_full_unstemmed Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by Sugammadex
title_short Negative Pressure Pulmonary Edema after Reversing Rocuronium-Induced Neuromuscular Blockade by Sugammadex
title_sort negative pressure pulmonary edema after reversing rocuronium induced neuromuscular blockade by sugammadex
url http://dx.doi.org/10.1155/2014/135032
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