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ACUTE PULMONARY EDEMA CAUSED BY IMPAIRED SWITCHING FROM NASAL TO ORAL BREATHING DURING THE CALDWELL-LUC OPERATION RESULTING FROM ANESTHESIA: A CASE REPORT  

Oh, Min-Seok (Department of Oral and Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University)
Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.32, no.2, 2006 , pp. 157-160 More about this Journal
Abstract
Nasotracheal intubation is performed routinely in maxillofacial surgery to optimize visualization of the surgical field. The CaldwellLuc operation is an approach to the maxillary sinus through the labiogingival sulcus and canine fossa. The operation is used to treat chronic maxillary sinusitis, and involves curettage of the mucosa of the maxillary sinus and the creation of an inferior meatal antrostomy. After the operation, a nasal Foley catheter is inserted into the inferior nasal meatus for the discharge of blood and tissue fluid. Then, the nostril is packed with vaseline gauze. Before the patients awaken, they experience impaired switching from nasal to oral breathing. Pulmonary edema can result from excessive negative intrathoracic pressure caused by acute airway obstruction in patients breathing spontaneously. During anesthesia and sedation, airway obstruction can occur at the levels of the pharynx and larynx. Even in patients who are awake, alteration in the ability to change the breathing route from nasal to oral may affect breathing in the presence of an airway obstruction, causing this catastrophic event. We experienced a case in which acute pulmonary edema resulted from acute airway obstruction triggered by the patient's inability to switch the breathing route from nasal to oral during emergence from anesthesia.
Keywords
Intubation; Caldwell-Luc operation; Pulmonary edema;
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1 Furuhashi-Yonaha A, Dohi S, Oshima T, Ueda N: Acute pulmonary edema caused by impaired switching from nasal to oral breathing in the emergence from anesthesia. Anesthesiology 2000;92:1209-1210   DOI   ScienceOn
2 Colice GL: Detecting the presence and cause of pulmonary edema. Postgrad Med 1993;93:161-166   DOI
3 Ingram RH Jr, Braunwald E: Dyspnea and pulmonary edema. Harrison's principles of internal medicine 3rd ed. NY McGraw Hill 1994:174
4 Crapo JD: New concepts in the formation of pulmonary edema. Am Rev Respir Dis 1993;147:790-792   DOI   ScienceOn
5 DePaso WJ, Winterbauer RH, Lusk JA, Dreis DF, Springmeyer SC: Chronic dyspnea unexplained by history, physical examination, chest roentgenogram, and spirometry. Analysis of a seven-year experience. Chest 1991;100:1293-1299   DOI   ScienceOn
6 Miloro Ghali, Larsen Waite: Peterson`s principles of oral and maxillofacial surgery; second edition