Œdème pulmonaire de réexpansion après exérèse d'une tumeur intrathoracique

Angel, G; Jm, Andreu; Aulagnier, V; Diatta, Bakary; Seck, M; Seignot, P

doi:10.1016/s0750-7658(97)81463-3

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…After a stay in intensive care unit for 48h, with close noninvasive ventilation sessions, a respiratory physiotherapy and diuretics, the evolution was progressively favorable with a decrease of the crackles, an improvement of the gasometric parameters and a regression of the radiological images (figure3) [2].…”

Section: The Casementioning

confidence: 98%

“…Unilateral reexpansion pulmonary edema (RPE) is a complication described after a pleural drainage. However, it can be encountered under various clinical conditions, in particular after pleural decortication, declotting or excision of a large intrathoracic tumor mass [1,2]. The immediate diagnosis based on radioclinical arguments should lead to a rapidly effective treatment [3].…”

Section: Introductionmentioning

confidence: 99%

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Acute unilateral reexpansion pulmonary edema after pleuropulmonary decortication

Belliraj

2019

oaj Case Rep.

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The development of unilateral pulmonary edema at the time of reexpansion is a rare complication often associated with aspirational drainage of a pneumothorax. It has been described exceptionally in the postoperative course of a pleural surgery. The main involved factors are prolonged atelectasis, reexpansion pulmonary effusion, the importance and duration of pleural effusion. This complication must be known to anesthesiologist during thoracic surgery for its mortality, which is evaluated at 20% in the litterature and that an early diagnosis allows the an effective treatment. We report an acute respiratory distress in the immediate postoperative course of pleuropulmonary decortication for a recurrent tuberculous pleurisy. Keywords: Unilateral Pulmonary Edema, Pneumothorax, Pleural Effusion.

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Section: The Casementioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Acute unilateral reexpansion pulmonary edema after pleuropulmonary decortication

Belliraj

2019

oaj Case Rep.

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Upper left single lobe acute pulmonary oedema following a chest drain

Rabiou

Lakranbi

Ghalimi

et al. 2015

Ann. Fr. Med. Urgence

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Cardiac output increases prior to development of pulmonary edema after re-expansion of spontaneous pneumothorax

Tan

Mak

Johan

et al. 2002

Respiratory Medicine

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Pulmonary edema following reexpansion of spontaneous pneumothorax is an uncommon complication. The underlying mechanism of this condition is unclear. We report the hemodynamic characteristics in a series of 7 male patients with spontaneous large (>50%) pneumothoraces of > or = 24 h and correlate the changes with reexpansion pulmonary edema (REPE). A pulmonary artery floatation catheter was inserted and hemodynamic data were obtained before therapeutic chest tube insertion, 1 h after chest tube insertion and the following day. Four (57%) patients developed REPE. There was a tendency for larger pneumothorax to develop REPE. Capillary wedge pressure did not change significantly 1 h after the insertion of chest tube in all our patients. Cardiac output increased significantly in patients who developed REPE compared to those who did not (+ 1.06 l/min vs -0.27 l/min; P = 0.03) 1 h after insertion of chest tube. One patient did not develop pulmonary edema despite having a large (> 80%) pneumothorax. His cardiac output did not rise 1 h after chest tube insertion. REPE is not an uncommon complication following chest tube drainage in patients with large and long-standing pneumothorax. The increase in cardiac output after chest tube insertion may be associated with subsequent development of REPE.

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Œdème pulmonaire de réexpansion après exérèse d'une tumeur intrathoracique

Cited by 3 publications

References 9 publications

Acute unilateral reexpansion pulmonary edema after pleuropulmonary decortication

Acute unilateral reexpansion pulmonary edema after pleuropulmonary decortication

Upper left single lobe acute pulmonary oedema following a chest drain

Cardiac output increases prior to development of pulmonary edema after re-expansion of spontaneous pneumothorax

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