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reexpansion pulmonary edema

Jared W Meeker, Amy L Jaeger, William P Tillis
Reexpansion pulmonary edema (RPE) is a rare complication that can occur after rapid reinflation of the lung following thoracentesis of a pleural effusion or chest tube drainage of pneumothorax. The severity in clinical presentation can be widely varied from radiographic changes only to rapidly progressive respiratory failure requiring mechanical ventilation. The quick nature of onset and potential for serious decline in a previously stable patient makes it important to prepare, recognize, diagnose, and appropriately manage patients who develop RPE...
2016: Journal of Community Hospital Internal Medicine Perspectives
Yuichiro Ozawa, Hideo Ichimura, Mitsuaki Sakai
INTRODUCTION: Several adverse effects on the pulmonary system in patients with anorexia nervosa (AN) have been reported. We present a case of AN who presented with a complicated reexpansion pulmonary edema (RPE) after video-assisted thoracic surgery (VATS) for spontaneous pneumothorax. PRESENTATION OF CASE: A 23-year-old woman with severe anorexia nervosa (weight: 25 kg, body mass index: 8.96 kg/m(2)) underwent VATS for spontaneous pneumothorax. Five hours after the surgery, she immediately presented acute cardiorespiratory insufficiency...
May 2016: Annals of Medicine and Surgery
James M Walter, Michael A Matthay, Colin T Gillespie, Thomas Corbridge
No abstract text is available yet for this article.
March 2016: Annals of the American Thoracic Society
Adriá Rosat, Carmen Díaz
No abstract text is available yet for this article.
2015: Pan African Medical Journal
Satoshi Yamaguchi, Kei Hirakawa
A 43-year-old male patient with spontaneous hemopneumothorax of the right lung underwent emergency video-assisted thoracoscopic surgery for drainage, hemostasis and bullae resection. Fifteen minutes after reexpansion of the right lung, we found bubbly sputum coming out from the right tracheal tube and cloudy shadow in the right field of his chest X-ray. The occurrence of reexpansion pulmonary edema (RPE) was considered. Subsequent mechanical ventilation with PEEP and administration of steroid and diuretic was done as his treatment...
June 2015: Masui. the Japanese Journal of Anesthesiology
M Verhagen, J M van Buijtenen, L M G Geeraedts
BACKGROUND: Reexpansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis or pleural effusion and can be fatal in 20% of cases. The pathogenesis of RPE is probably related to histological changes of the lung parenchyma and reperfusion-damage by free radicals leading to an increased vascular permeability. RPE is often self-limiting and treatment is supportive. CASE REPORT: A 76-year-old patient was treated by intercostal drainage for a traumatic pneumothorax...
2015: Respiratory Medicine Case Reports
Jae Jun Kim, Yong Hwan Kim, Si Young Choi, Seong Cheol Jeong, Seok Whan Moon
Reexpansion pulmonary edema is a rare but potentially life-threatening condition that occurs when a collapsed lung reexpands, usually in the same side of collapsed lung. We present a rare case in which a 57-year-old Korean man had a large amount of malignant pleural effusion. After undergoing tube thoracostomy drainage for the pleural effusion, a contralateral reexpansion pulmonary edema developed while the ipsilateral lung was half collapsed. The patient was dyspneic with an oxygen saturation that dropped to 66 %...
2015: Journal of Cardiothoracic Surgery
Steven P de Wolf, Jaap Deunk, Alexander D Cornet, Paul Wg Elbers
Bilateral re-expansion pulmonary edema (RPE) is an extremely rare entity. We report the unique case of bilateral RPE following a traumatic, unilateral hemopneumothorax in a young healthy male. Bilateral RPE occurred only one hour after drainage of a unilateral hemopneumothorax. The patient was treated with diuretics and supplemental oxygen. Diagnosis was confirmed by excluding other causes, using laboratory findings, chest radiography, pulmonary and cardiac ultrasound and high resolution computed tomography...
2014: F1000Research
Jasleen Pannu, Zachary S DePew, John J Mullon, Craig E Daniels, Clinton E Hagen, Fabien Maldonado
BACKGROUND: Routine manometry is recommended to prevent complications during therapeutic thoracentesis, but has not definitively been shown to prevent pneumothorax or reexpansion pulmonary edema. As chest discomfort correlates with negative pleural pressures, we aimed to determine whether the use of manometry could anticipate the development of chest discomfort during therapeutic thoracentesis. METHODS: A retrospective chart review of 214 consecutive adults who underwent outpatient therapeutic thoracentesis at our institution between January 1, 2011 and June 30, 2013 was performed...
October 2014: Journal of Bronchology & Interventional Pulmonology
Naohiro Taira, Tsutomu Kawabata, Takaharu Ichi, Tomofumi Yohena, Hidenori Kawasaki, Kiyoshi Ishikawa
BACKGROUND: The major risk factor for reexpansion pulmonary edema (RPE) following the treatment of spontaneous pneumothorax is thought to be chronic lung collapse. However, a long-term collapsed lung does not always cause RPE. The purpose of this study was to define other risk factors for RPE among patients undergoing drainage for the treatment of spontaneous pneumothorax. METHODS: We retrospectively reviewed all the patients with spontaneous pneumothorax who had been treated at our hospital during a 5-year period...
September 2014: Journal of Thoracic Disease
William E Harner, Eric A Crawley
The case is a 48-year-old female who presented with mild dyspnea on exertion and cough with unremarkable vital signs and was found to have a large right sided pneumothorax. She underwent small bore chest tube decompression with immediate reexpansion of the collapsed lung. However, she rapidly developed moderate hypoxemia and radiographic evidence of reexpansion pulmonary edema (REPE) on both the treated and contralateral sides. Within a week, she had a normal chest X-ray and was asymptomatic. This case describes a rare complication of spontaneous pneumothorax and highlights the lack of correlation between symptoms, sequelae, and radiographic severity of pneumothorax and reexpansion pulmonary edema...
2014: Case Reports in Pulmonology
John P Corcoran, Ioannis Psallidas, Graham Barker, Anny Sykes, Robert J Hallifax, Fergus V Gleeson, Najib M Rahman
Local anesthetic (medical) thoracoscopy is used with increasing frequency by pulmonologists worldwide for both diagnostic and therapeutic purposes, notably in comorbid patients who may not be physiologically robust enough for general anesthesia. Understanding the complications that can arise and how to manage them is crucial for any physician performing this procedure. Reexpansion pulmonary edema is a rare but recognized complication of draining pleural effusions and pneumothoraces that has not been described previously in association with physician-led thoracoscopy...
August 2014: Chest
M Elizabeth Wilcox, Christopher A K Y Chong, Matthew B Stanbrook, Andrea C Tricco, Camilla Wong, Sharon E Straus
IMPORTANCE: Thoracentesis is performed to identify the cause of a pleural effusion. Although generally safe, thoracentesis may be complicated by transient hypoxemia, bleeding, patient discomfort, reexpansion pulmonary edema, and pneumothorax. OBJECTIVE: To identify the best means for differentiating between transudative and exudative effusions and also to identify thoracentesis techniques for minimizing the risk of complications by performing a systematic review the evidence...
June 18, 2014: JAMA: the Journal of the American Medical Association
Giovanni Perricone, Chiara Mazzarelli
A 67-year-old-man with advanced alcoholic cirrhosis presented with progressive dyspnea. Chest radiography showed findings suggestive of a large right pleural effusion (Panel A). Since hepatic hydrothorax was suspected, thoracentesis was performed, resulting in the aspiration of 1500 ml of..
March 20, 2014: New England Journal of Medicine
Shinichiro Kira
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')...
March 2014: Paediatric Anaesthesia
Antonio Lucas L Rodrigues, Carlos Eduardo Lopes, Mariana Tresoldi das N Romaneli, Andrea de Melo A Fraga, Ricardo Mendes Pereira, Antonia Teresinha Tresoldi
OBJECTIVE To present a case of a patient with clinical and radiological features of reexpansion pulmonary edema, a rare and potentially fatal disease. CASE DESCRIPTION An 11-year-old boy presenting fever, clinical signs and radiological features of large pleural effusion initially treated as a parapneumonic process. Due to clinical deterioration he underwent tube thoracostomy, with evacuation of 3,000 mL of fluid; he shortly presented acute respiratory insufficiency and needed mechanical ventilation. He had an atypical evolution (extubated twice with no satisfactory response)...
September 2013: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Rasha Alqadi, Carolina Fonseca-Valencia, Michael Viscusi, Syed R Latif
No abstract text is available yet for this article.
September 2013: Rhode Island Medical Journal
D Myšíková, J Simonek, A Stolz, R Lischke
Reexpansion pulmonary oedema is a rare but possibly lethal complication of thoracic drainage for pneumothorax. Morbidity and mortality of this complication remains high (up to 20% of lethal cases) and as such deserves our attention. We report a case of ipsilateral left-sided pulmonary oedema following chest tube insertion in a 42-year-old male patient with spontaneous pneumothorax. Pneumothorax can be expected to last for up to 3 weeks (from the first presentation of sudden dyspnoea and chest pain). The pathophysiology of this lung affection has not yet been completely elucidated; the crucial role is probably played by damage to the endothelium which is followed by increased endothelial permeability during ischemia-reperfusion injury in a rapidly reexpanding lung...
June 2013: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Tetsuyuki Okubo, Masaya Kawada, Yoshinori Suzuki, Yo Kawarada, Shuji Kitashiro, Shun-ichi Okushiba
A 80-year-old female with an eventration of the left diaphragm, which had been noticed with routine chest roentgenogram in 2006, presented with severe dyspnea and shock vital in 2012. The chest X-ray on admission disclosed elevation of the left hemidiaphragm, dislocation of the heart to the right. The diagnosis of eventration of the diaphragm was confirmed with a computed tomographic scan. She underwent diaphragmatic plication with endostaplers by thoracoscopic surgery. The postoperative course was uneventful except for transient reexpansion pulmonary edema...
July 2013: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Tetsuyuki Okubo, Masaya Kawada, Yoshinori Suzuki, Yo Kawarada, Shuji Kitashiro, Shunichi Okushiba
A 44-year-old female was presented to our department with a 4-day history of shortness of breath and chest pain. The chest X-ray showed pneumothorax with completely collapsed left lung. Thoracentesis was performed. She complained of dyspnea and the oxygen saturation decreased to 74% after thoracentesis. The 2nd chest X-ray and computed tomography demonstrated a left-sided pulmonary edema. A 67-year-old man came to our department complaining of persistent cough. The chest X-ray showed pneumothorax with collapsed right middle and lower lobes...
June 2013: Kyobu Geka. the Japanese Journal of Thoracic Surgery
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