• Am. J. Dis. Child. · Apr 1984

    Case Reports

    Pulmonary edema associated with upper airway obstruction.

    • R K Kanter and J F Watchko.
    • Am. J. Dis. Child. 1984 Apr 1;138(4):356-8.

    AbstractWe retrospectively surveyed records of 153 patients with croup or epiglottitis. Thirty-four children required intubation of the trachea to relieve upper airway obstruction. In those requiring intubation, pulmonary edema occurred in four (12%) of 34. Review of 17 previously reported cases, along with our patients, demonstrated that onset of pulmonary edema due to upper airway obstruction usually follows intubation. A PaO2 below 50 mm Hg is observed in 38% and pneumothorax in 24% of all reported cases. Supplemental oxygen, positive end-expiratory pressure, mechanical ventilation, and chest tube drainage have prevented death despite these life-threatening complications.

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