Saudi Journal of Anaesthesia (Jan 2024)

Pulmonary edema: A complication of post-complete ingrown toenail excision. A case report

  • Khalid Ibrahim Aljonaieh,
  • Sadal Aldakhil

DOI
https://doi.org/10.4103/sja.sja_536_23
Journal volume & issue
Vol. 18, no. 1
pp. 131 – 133

Abstract

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A sympathetic crashing pulmonary edema (SCAPE) is an emergency medical situation necessitating early recognition and treatment. We present a case of a 15-years old male who underwent a toenail excision of his left big toe and who developed SCAPE postoperatively. The low incidence of SCAPE intraoperatively makes it challenging for anesthesiologists to diagnose it. It occurs unexpectedly and precipitously, and it may increase the risks of morbidity and mortality if it is not treated promptly. Our aim is to raise awareness of how to abruptly manage such cases.

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