Re-expansion Pulmonary Oedema in Chronic Pneumothorax

Re-expansion pulmonary edema (REPE) is a rare complication of treatment of spontaneous pneumothorax or large pleural effusions. As a complication of spontaneous pneumothorax treatment, only few cases are documented, and even fewer document the role of non-invasive continuous positive airway pressure mechanical ventilation for treatment of this rare entity. We present a case of 23-year-old man who presented with left-sided pneumothorax, developed unilateral REPE and was treated with non-invasive continuous positive airway pressure.

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Re-expansion pulmonary edema in a patient with total pneumothorax: a hazardous outcome

Sakellaridis

Panagiotou

Arsenoglou

et al. 2012

Gen Thorac Cardiovasc Surg

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Une opacité pulmonaire unilatérale

Dumesnil

Begarin

Fares

et al. 2012

La Revue de Médecine Interne

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Reexpansion pulmonary edema: review of pediatric cases

Kira

2013

Pediatric Anesthesia

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Reexpansion pulmonary edema (RPE) is an increased permeability pulmonary edema that usually occurs in the reexpanded lung after several days of lung collapse. This condition is recognized to occur more frequently in patients under the age of 40 years, but there has been no detailed analysis of reported pediatric cases of RPE to date. For this review, PubMed literature searches were performed using the following terms: 're(-)expansion pulmonary (o)edema' AND ('child' OR 'children' OR 'infant' OR 'boy' OR 'girl' OR 'adolescent'). The 22 pediatric cases of RPE identified were included in this review. RPE was reported in almost the entire pediatric age range, and as in adult cases, the severity ranged from subclinical to lethal. No specific treatment for RPE was identified, and treatment was administered according to the clinical features of each patient. Of the 22 reported cases, 10 occurred during the perioperative period, but were not related to any specific surgical procedures or anesthetic techniques, or to the duration of lung collapse. Pediatric anesthesiologists should be aware that pediatric RPE can occur after reexpansion of any collapsed lung and that some invasive therapies can be useful in severe cases.

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Re-expansion Pulmonary Oedema in Chronic Pneumothorax

Cited by 3 publications

References 3 publications

Re-expansion pulmonary edema in a patient with total pneumothorax: a hazardous outcome

Re-expansion pulmonary edema in a patient with total pneumothorax: a hazardous outcome

Une opacité pulmonaire unilatérale

Reexpansion pulmonary edema: review of pediatric cases

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