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

Tan, Hiok C; Mak, Koon‐Hou; Johan, A; Wang, Y.T; Poh, S. C.

doi:10.1053/rmed.2002.1301

Cited by 22 publications

(6 citation statements)

References 10 publications

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“…Several studies have demonstrated that the incidence of REPE is higher when the size of the pneumothorax is larger [10,23,24]. These finding are consistent with our results.…”

Section: Discussionsupporting

confidence: 93%

Risk factors for the development of reexpansion pulmonary edema in patients with spontaneous pneumothorax

Yoon

Suh

Choi

et al. 2013

J Cardiothorac Surg

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BackgroundReexpansion pulmonary edema (REPE) is known as a rare and fatal complication after tube thoracostomy.ObjectivesWe investigated the risk factors for the development of REPE in patients with spontaneous pneumothorax.MethodsWe selected patients who were diagnosed with spontaneous pneumothorax and were initially treated with tube thoracostomy between August 1, 2003 and December 31, 2011. The patients’ electronic medical records, including operative notes and chest x-ray and computed tomography scans, were reviewed.ResultsREPE developed in 49 of the 306 patients (16.0%). REPE was more common in patients with diabetes (14.3% vs 3.9%, P = 0.004) or tension pneumothorax (46.8% vs 16.2%, P = 0.000). The pneumothorax was larger in patients with REPE than without REPE (57.0 ± 16.0% vs 34.2 ± 17.6%, P = 0.000), and the incidence of REPE increased with the size of pneumothorax. On multivariate analysis, diabetes mellitus [(odds ratio (OR) = 9.93, P = 0.003), and the size of pneumothorax (OR = 1.07, P = 0.000) were independent risk factors of REPE.ConclusionsThe presence of diabetes increases the risk of REPE development in patients with spontaneous pneumothorax. The risk of REPE also increases significantly with the size of pneumothorax.

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“…Several studies have demonstrated that the incidence of REPE is higher when the size of the pneumothorax is larger [10,23,24]. These finding are consistent with our results.…”

Section: Discussionsupporting

confidence: 93%

Risk factors for the development of reexpansion pulmonary edema in patients with spontaneous pneumothorax

Yoon

Suh

Choi

et al. 2013

J Cardiothorac Surg

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“…The detection rate of REPE was higher in our study than other earlier studies, possibly due to the application of negative pressure after thoracostomy and the use of CT imaging to detect REPE 15. CT imaging of the chest was used in this study, because of its higher accuracy and sensitivity in diagnosing REPE.…”

Section: Discussioncontrasting

confidence: 57%

The Frequency of Reexpansion Pulmonary Edema after Trocar and Hemostat Assisted Thoracostomy in Patients with Spontaneous Pneumothorax

Cha

Kim

Ji³

et al. 2013

Yonsei Med J

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PurposeSeveral risk factors for development of reexpansion pulmonary edema (REPE) after drainage of pneumothoraces have been reported, but the association between the method of thoracostomy and the development of REPE is unknown. The aim of this study was to compare the frequency of REPE after treatment of spontaneous pneumothorax with trocar or hemostat assisted closed thoracostomy.Materials and MethodsWe performed a prospective, observational study including 173 patients with spontaneous pneumothorax who visited the emergency department from January 2007 to December 2008. In 2007, patients were treated with hemostat-assisted drainage, whereas patients in 2008 were treated with trocar-assisted drainage. The main outcome was the development of REPE, determined by computed tomography of the chest 8 hours after closed thoracostomy. Outcomes in both groups were compared using univariate and multivariate analyses.ResultsNinety-two patients were included, 48 (42 males) of which underwent hemostat-assisted drainage and 44 (41 males) underwent trocar-assisted drainage. The groups were similar in mean age (24±10 vs. 26±14 respectively). The frequencies of REPE after hemostat- and trocar-assisted drainage were 63% (30 patients) and 86% (38 patients) respectively (p=0.009). In multivariate analysis, trocar-assisted drainage was the major contributing factor for developing REPE (odds ratio=5.7, 95% confidence interval, 1.5-21). Age, gender, size of pneumothorax, symptom duration and laboratory results were similar between the groups.ConclusionClosed thoracostomy using a trocar is associated with an increased risk of REPE compared with hemostat-assisted drainage in patients with spontaneous pneumothorax.

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“…The etiology of re‐expansion pulmonary oedema (REPE) remains speculative, although hemodynamic changes occur and sympathetic overdrive may also participate. The main mechanism of REPE is the increased pulmonary vascular permeability; however, changes in cardiac output have also been described in patients who developed REPE [10].…”

Section: Discussionmentioning

confidence: 99%

Transient biventricular dysfunction following pericardiocentesis

Ligero

Leta

Bayés‐Genís

2005

European J of Heart Fail

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We report the case of a 41-year-old woman admitted to the hospital due to cardiac tamponade as the first manifestation of a pulmonary neoplasm. The patient developed an early biventricular dysfunction and pulmonary edema after removal of the pericardial effusion, with complete recovery within ten days. Since transient ventricular dysfunction after pericardiocentesis is a very unusual complication, we present a review of the different mechanisms suggested in the literature to explain the pathophysiology of this rare phenomenon.

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

Cited by 22 publications

References 10 publications

Risk factors for the development of reexpansion pulmonary edema in patients with spontaneous pneumothorax

Risk factors for the development of reexpansion pulmonary edema in patients with spontaneous pneumothorax

The Frequency of Reexpansion Pulmonary Edema after Trocar and Hemostat Assisted Thoracostomy in Patients with Spontaneous Pneumothorax

Transient biventricular dysfunction following pericardiocentesis

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