Post-lung resection pulmonary edema: A case for aggressive management

Alvarez, John M.; Bairstow, Brett M.; Tang, Conway; Newman, Mark

doi:10.1016/s1053-0770(98)90335-4

Cited by 24 publications

(11 citation statements)

References 10 publications

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“…As a last resort extracorporeal support has also been used. [ 36 ] Inhaled nitric oxide has also been used with occasional success in this condition. [ 37 ]…”

Section: Post-lung Resection Pulmonary Oedemamentioning

confidence: 99%

Post-operative pulmonary complications after thoracotomy

Sengupta

2015

Indian J Anaesth

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Pulmonary complications are a major cause of morbidity and mortality in the post-operative period after thoracotomy. The type of complications and the severity of complications depend on the type of thoracic surgery that has been performed as well as on the patient's pre-operative medical status. Risk stratification can help in predicting the possibility of the post-operative complications. Certain airway complications are more prone to develop with thoracic surgery. Vocal cord injuries, bronchopleural fistulae, pulmonary emboli and post-thoracic surgery non-cardiogenic pulmonary oedema are some of the unique complications that occur in this subset of patients. The major pulmonary complications such as atelectasis, bronchospasm and pneumonia can lead to respiratory failure. This review was compiled after a search for search terms within ‘post-operative pulmonary complications after thoracic surgery and thoracotomy’ on search engines including PubMed and standard text references on the subject from 2000 to 2015.

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“…As a last resort extracorporeal support has also been used. [ 36 ] Inhaled nitric oxide has also been used with occasional success in this condition. [ 37 ]…”

Section: Post-lung Resection Pulmonary Oedemamentioning

confidence: 99%

Post-operative pulmonary complications after thoracotomy

Sengupta

2015

Indian J Anaesth

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“…2 Beside bacterial pneumonia and bronchopleural fistula, postpneumonectomy pulmonary edema (PPE) occurs in 2 to 4%, [3][4][5] and its incidence has not shown any noticable decrease in the last decades. Since mortality in patients with PPE can reach 75 to 100%, 3,6 early diagnosis by quantification of extravascular lung water may be useful for early therapeutic approach.…”

mentioning

confidence: 99%

Accuracy and Limits of Transpulmonary Dilution Methods in Estimating Extravascular Lung Water After Pneumonectomy

Roch

Michelet

D’journo³

et al. 2005

Chest

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“…The operated, nondependent lung suffers from temporary collapse, instrumentation and manipulation. The surgery-induced injury depends on the duration and invasiveness of the procedure [13][14][15], the lung resection type [16] and location of the thoracic surgical procedure [17]. Hypoperfusion induced by hypoxic pulmonary vasoconstriction [18], dysfunction of the surfactant system [19] and oxidative stress resulting from reexpansion [20], ischemia and reperfusion [21] may increase alveolar injury during and after thoracic surgery as observed in rabbit lungs after complete collapse and reventilation [22].…”

Section: Pathogenesis Of Lung Injury: Surgical Traumamentioning

confidence: 99%

Protective Ventilatory Approaches to One-Lung Ventilation: More than Reduction of Tidal Volume

Kozian

Schilling

2014

Curr Anesthesiol Rep

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The thoracic surgical patient is at special risk for increased postoperative pulmonary complications, such as atelectasis, impaired lung function and pneumonia, as well as acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) with high mortality after lung resections. One-lung ventilation (OLV) induces proinflammatory responses especially in the ventilated lung, based on mechanical stress, persistent hyperperfusion, increased gas content and ventilation to perfusion mismatching. ALI may occur, even in previously healthy lungs. Ventilation management can cause and exacerbate but also attenuate ALI after OLV. Protective ventilatory approaches can improve the outcome by minimizing lung damage. However, ventilation with lower tidal volumes during OLV does not completely abolish alveolar inflammation. The present review addresses the effects of OLV and their role in ventilator-induced lung injury. Lung protective strategies to one-lung ventilation that additionally include reduction of cyclic alveolar recruitment, PEEP ventilation, limitation of inspired oxygen and pharmacological preconditioning by volatile anesthetics are discussed.

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Post-lung resection pulmonary edema: A case for aggressive management

Cited by 24 publications

References 10 publications

Post-operative pulmonary complications after thoracotomy

Post-operative pulmonary complications after thoracotomy

Accuracy and Limits of Transpulmonary Dilution Methods in Estimating Extravascular Lung Water After Pneumonectomy

Protective Ventilatory Approaches to One-Lung Ventilation: More than Reduction of Tidal Volume

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