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Korean Journal of Anesthesiology 2009;57(5):641-643.
DOI: https://doi.org/10.4097/kjae.2009.57.5.641   
Pulmonary hemorrhage accompanied with pulmonary edema induced by endotracheal tube occlusion in a child: A case report.
Soo Kyung Lee, Seung Hwan Jung, Jong Sung Im, Dong Jin Chang, Ji Hyun Park, Young Mi Kim, Hyun Soo Moon
Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine, Anyang, Korea. agnetask@yahoo.co.kr
Negative pressure induced pulmonary edema due to upper airway obstruction is a well-recognized problem. However, negative pressure pulmonary hemorrhage is extremely uncommon. We report a child who developed negative pressure pulmonary hemorrhage following acute airway obstruction caused by clench of endotracheal tube during emergence of anesthesia. The patient was treated with positive pressure ventilation and frequent tracheal suction. Hemorrhage from endotracheal tube was gradually decreased after 4 hours. The patient was extubated after 7 hours.
Key Words: Endotracheal tube occlusion; Pulmonary hemorrhage


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