Post Anesthetic Extubation Pulmonary Edema-Hemorrhage: A study of three Cases

Background: Post extubation pulmonary edema and hemorrhage is an uncommon condition. In order to have good insight to the condition it will review the clinical course of 3 cases. Cases presentation: Undergoing surgery on one healthy middle age woman with lumbar disc herniation, and two young men (one with renal stone and one with varicocele) complicated by postextubation pulmonary edema and hemorrhage. Dyspnea and agitation were the main symptoms. Thacypnea, cyanosis, and hemoptesis were the main signs. Onset was rapid and all patients were managed conservatively by rest, supplemental O2, and hydrocortisone. Initial chest X-ray showed patchy, acinar infiltration in all three cases. All patients were improved rapidly within 24 to 48 hours and CXRs were fully cleared without any consequences. Conclusion: Considering the pulmonary edema and hemorrhage as a consequence of postextubation laryngospasm, so anesthesiologist have to place in the good insight to preventing the condition and watch all patients in post operative period at least for 2 to 6 hours.