• BMJ case reports · Jan 2014

    Case Reports

    Neostigmine and pulmonary oedema.

    • Amrutha Bindu Nagella, Mubina Begum Bijapur, Shreyavathi Shreyavathi, and Raghavendra R S Rao.
    • Department of Anaesthesia and Critical Care, Mahatma Gandhi Medical College & Research Institute, Pondicherry, India.
    • BMJ Case Rep. 2014 Jan 1;2014.

    AbstractA 1-year-old child with no pre-existing cardiac or respiratory disease developed frank pulmonary oedema after administration of a neostigmine-glycopyrrolate mixture to reverse neuromuscular blockade during general anaesthesia. Possible cardiac and extra-cardiac factors that could cause pulmonary oedema in this child were ruled out by appropriate investigations. As the pulmonary oedema manifested shortly after administration of the neostigmine-glycopyrrolate mixture, we concluded that neostigmine was the most probable cause. This article briefly reports the occurrence of events and successful management of perioperative pulmonary oedema.2014 BMJ Publishing Group Ltd.

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