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Vasudevan A et al. - A case of pulmonary edema following laryngospasm in a child with cerebral palsy is reported. Even though the initial presentation was suggestive of negative pressure pulmonary edema, a diagnosis of acute respiratory syndrome was made later. Differentiating acute lung injury or acute respiratory distress syndrome from simple negative pressure pulmonary edema will help initiate aggressive management and improve outcome.

Exclusive Author Commentary
Vasudevan A, 07/02/09

Laryngospasm following extubation is not uncommon in children and is usually self limited. Few patients may develop pulmonary edema which can be easily managed with positive pressure ventilation or CPAP. In rare cases it may progress to severe pulmonary edema or ARDS with increased morbidity and mortality. High degree of clinical suspicion and aggressive management will help improve the outcome in these patients

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