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Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview.

Verhagen M, van Buijtenen JM, Geeraedts LM - Respir Med Case Rep (2014)

Bottom Line: Shortly afterwards he developed reexpansion pulmonary edema and was transferred to the intensive care unit for ventilatory support.RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage.Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favorable outcome.

View Article: PubMed Central - PubMed

Affiliation: VU Medical Center, Amsterdam, Department of Traumasurgery, The Netherlands.

ABSTRACT

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. Shortly afterwards he developed reexpansion pulmonary edema and was transferred to the intensive care unit for ventilatory support. Gradually, the edema and dyspnea diminished and the patient could be discharged in good clinical condition.

Conclusion: RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage. Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favorable outcome.

No MeSH data available.


Related in: MedlinePlus

Diminished pulmonary edema after 7 days, ICD removed.
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fig4: Diminished pulmonary edema after 7 days, ICD removed.

Mentions: A repeated chest X-ray showed signs of severe pulmonary edema on the left side (Fig. 3). The patient was transferred to the intensive care unit (ICU) and received continuous positive airway pressure (CPAP) therapy. The pulmonary edema diminished gradually within a week (Fig. 4) and the patient could be transferred back to the neurology ward for further treatment of his Parkinson's disease. He was discharged to a nursing home three weeks later in good condition.


Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview.

Verhagen M, van Buijtenen JM, Geeraedts LM - Respir Med Case Rep (2014)

Diminished pulmonary edema after 7 days, ICD removed.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4356048&req=5

fig4: Diminished pulmonary edema after 7 days, ICD removed.
Mentions: A repeated chest X-ray showed signs of severe pulmonary edema on the left side (Fig. 3). The patient was transferred to the intensive care unit (ICU) and received continuous positive airway pressure (CPAP) therapy. The pulmonary edema diminished gradually within a week (Fig. 4) and the patient could be transferred back to the neurology ward for further treatment of his Parkinson's disease. He was discharged to a nursing home three weeks later in good condition.

Bottom Line: Shortly afterwards he developed reexpansion pulmonary edema and was transferred to the intensive care unit for ventilatory support.RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage.Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favorable outcome.

View Article: PubMed Central - PubMed

Affiliation: VU Medical Center, Amsterdam, Department of Traumasurgery, The Netherlands.

ABSTRACT

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. Shortly afterwards he developed reexpansion pulmonary edema and was transferred to the intensive care unit for ventilatory support. Gradually, the edema and dyspnea diminished and the patient could be discharged in good clinical condition.

Conclusion: RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage. Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favorable outcome.

No MeSH data available.


Related in: MedlinePlus