Differential Diagnosis Of Hypoxemia Following Right Femur Fracture Open Reduction Internal Fixation

Document Type

Conference Proceeding - Restricted Access

Publication Date



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.


American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019. Abstract.