<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662019000100159</article-id>
<article-id pub-id-type="doi">10.24245/mim.v35i1.2002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Edema agudo de pulmón por presión negativa secundario a laringoespasmo]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute lung edema due to negative pressure secondary to laryngospasm]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Izaguirre-González]]></surname>
<given-names><![CDATA[Allan Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tejada-Valladares]]></surname>
<given-names><![CDATA[Aleida Gisselle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordón-Fajardo]]></surname>
<given-names><![CDATA[Jaime Jahaziel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matamoros-Vásquez]]></surname>
<given-names><![CDATA[Karla Auxiliadora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toro-Amaya]]></surname>
<given-names><![CDATA[Pablo David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de Honduras Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[ Tegucigalpa]]></addr-line>
<country>Honduras</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional Santa Teresa  ]]></institution>
<addr-line><![CDATA[Comayagua ]]></addr-line>
<country>Honduras</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>159</fpage>
<lpage>164</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662019000100159&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662019000100159&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662019000100159&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El edema agudo de pulmón por presión negativa es una forma de edema pulmonar no cardiogénico, potencialmente grave, que suele ocurrir en sujetos sanos jóvenes capaces de generar presiones intratorácicas negativas elevadas al inspirar vigorosamente contra una vía aérea superior obstruida. En adultos la causa más frecuente es el laringoespasmo posextubación en el periodo posoperatorio inmediato. Puede afectar a 0.05-0.1% de los pacientes sanos sometidos a anestesia general. Se comunica el caso de un paciente de 24 años de edad, sin antecedentes patológicos, que acudió al servicio de consulta externa de Cirugía del Hospital Regional Santa Teresa, Comayagua, Honduras, para realizar colecistectomía abierta por colecistitis crónica calculosa agudizada. Se realizó procedimiento quirúrgico sin complicaciones; 15 minutos del periodo posoperatorio inmediato, después de la extubación, el paciente tuvo cuadro clínico de disnea súbita, cianosis y hemoptisis. A la exploración física se encontró hipoxemia, taquipnea (FR = 40 rpm) y crépitos bilaterales en la auscultación. Se realizaron exámenes complementarios y de imagen, concluyendo edema agudo de pulmón. Se inició tratamiento con oxigenoterapia, corticoesteroides y diuréticos durante 72 horas, con lo que evolucionó de forma favorable. Los hallazgos clínicos del edema agudo de pulmón por presión negativa pueden confundirse con una amplia gama de afecciones clínicas, por lo que es de suma importancia realizar el abordaje adecuado y diagnóstico diferencial. El inicio de las medidas terapéuticas oportunas ofrece un pronóstico favorable y generalmente disminución de la mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute negative pressure pulmonary edema is a form of potentially serious noncardiogenic pulmonary edema that usually occurs in young healthy subjects capable of generating elevated negative intrathoracic pressures by vigorously inhaling a blocked upper airway. In adults, the most frequent cause is postextubation laryngospasm in the immediate postoperative period. It can present in 0.05-0.1% of healthy patients under general anesthesia. This paper reports the case of a 24-year-old male with no pathological history, who was presented to the general surgery service of the Hospital Regional Santa Teresa, Comayagua, Honduras, to perform open cholecystectomy for chronic cholecystitis. The surgical procedure was performed without complications; 15 minutes of the immediate postoperative period, post-extubation, patient presented clinical manifestations of sudden dyspnea, cyanosis and hemoptysis. On physical examination were found hypoxemia, tachypnea (BR = 40 bfm) and bilateral craniocereus on pulmonary auscultation. Complementary tests and image were performed and NPPE was diagnosed. Treatment with oxygen therapy, corticosteroids and diuretics was started, during 72 hours evolving favorably. The clinical findings of the acute negative pressure pulmonary edema can be confused with a wide range of clinical entities, so it is extremely important to carry out an adequate approach and differential diagnosis. The introduction of appropriate therapeutic measures offers a favorable prognosis and generally a wide decrease in mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Edema de pulmón por presión negativa]]></kwd>
<kwd lng="es"><![CDATA[extubación traqueal]]></kwd>
<kwd lng="es"><![CDATA[laringismo]]></kwd>
<kwd lng="es"><![CDATA[disnea]]></kwd>
<kwd lng="es"><![CDATA[cianosis]]></kwd>
<kwd lng="en"><![CDATA[Negative pressure pulmonary edema]]></kwd>
<kwd lng="en"><![CDATA[Airway extubation]]></kwd>
<kwd lng="en"><![CDATA[Laryngismus]]></kwd>
<kwd lng="en"><![CDATA[Dyspnea]]></kwd>
<kwd lng="en"><![CDATA[Cyanosis]]></kwd>
</kwd-group>
</article-meta>
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