Negative Pressure Pulmonary Edema During Laryngeal Mask Use: A Case Report

Postaci A., Sacan O., Yilmaz A. N., Ornek D., Alay G. H., Gogus N.

MEDICAL JOURNAL OF BAKIRKOY, vol.12, no.1, pp.54-56, 2016 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 1
  • Publication Date: 2016
  • Doi Number: 10.5350/btdmjb201612110
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.54-56
  • Keywords: General anesthesia, pulmonary edema, laryngeal mask airway, AIRWAY
  • Istanbul University Affiliated: Yes


Negative pressure pulmonary edema (NPPE), a non-cardiogenic pulmonary edema, develops due to airway obstruction. Young, healthy, male patients, who have a lot of muscle mass that can lead to produce high negative intra-pleural pressure (athletes pulmonary edema syndrome, APS), are under the risk of developing NPPE. Usually, NPPE develops after extubation in patients who undergo endotracheal intubation however; there are some case reports showing that it can develop after laryngeal mask application (LMA) even in a less manner. The most possible reasons lead to airway obstruction during LMA use are biting of laryngeal mask tube, misplacement of tube, and laryngospasm. This case report presents a patient who undergoes LMA and develops NPPE due to laryngospasm during recovery from anesthesia.