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Korean J Anesthesiol > Volume 39(4); 2000 > Article
Korean Journal of Anesthesiology 2000;39(4):606-610.
DOI: https://doi.org/10.4097/kjae.2000.39.4.606   
Non-invasive Positive Pressure Ventilation for Pulmonary Edema in Kidney Transplanted Patient.
Jae Woo Lim, Kyoung Min Lee, Hyun Kyo Lim, Soon Yul Kim, Yeong Bok Lee, Jae Chan Choi
1Department of Anesthesiology, Yonsei University Wonju College of Medicine, Wonju, Korea.
2Department of Anesthesiology, College of Medicine, Konyang University, Taejeon, Korea.
Non-invasive positive pressure ventilation (NIPPV) was mainly applied to acute respiratory failure in chronic obstructive pulmonary disease (COPD) and to intrinsic lung disease such as neuromuscular disorders. It has been reported that this maneuver reduces morbidity, mortality and hospital stay in patients in the intensive care unit. We observed a 32-year-old female renal transplantation patient who developed pulmonary edema during the perioperative state. The mainteance of an endotracheal tube in intubated patients who were on immunosuppresive therapy might increase nosocomial pneumonia significantly. In this case, the mortality increase was expected, therefore we considered that early extubation and mask continuous positive airway pressure (mask CPAP) could help. By using mask CPAP, the patient showed a good response and the pulmonary edema was improved. We report a case about the benefits of NIPPV in the treatment of pulmonary edema in an immunosuppressed patient of which the result was very satisfactory.
Key Words: Complication: pulmonary; edema. Transplantation: kidney; Ventilation: continuous positive airway pressure; mask
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