Differential Diagnosis Of Hypoxemia Following Right Femur Fracture Open Reduction Internal Fixation
Conference Proceeding - Restricted Access
69 y.o. female with history of COPD underwent an ORIF of femur fracture under GA with an ETT. Upon arrival to PACU, O2 requirement steadily increased, and PE revealed bibasilar rales. Etiology of the respiratory distress was proposed to be noncardiogenic, as patient had no history or evidence of left heart failure. Discussion with the anesthesia staff suggested possible occlusion of the ETT during extubation. The differential diagnosis of noncardiogenic dyspnea, with a focus on the diagnosis and treatment of negative pressure pulmonary edema will be discussed, as will supportive treatment for the post-op patient with acute hypoxic respiratory insufficiency.
Chokr M, Nowatzke RW, Yaldou BJ. Differential diagnosis of hypoxemia following right femur fracture open reduction internal fixation. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.