AN UNUSUAL CASE OF OBSTRUCTIVE PULMONARY-EDEMA

A four-year-old boy was admitted to intensive care via casualty having suffered an apnoeic episode due to compression of his chest by a heav y cattle bar. A petechial rash was noted on the upper chest and arms. A chest radiograph showed pulmonary oedema which resolved over a few h ours following positive pressure ventilation and positive end expirato ry pressure. We believe this to be an unusual presentation of obstruct ive pulmonary oedemia (Negative Pressure Pulmonary Oedema).