Postpneumonectomy pulmonary edema

Zeldin, Robert A.; Normandin, Denyse; Landtwing, Donna; Peters, Richard M.

doi:10.1016/s0022-5223(19)37385-4

Cited by 193 publications

(66 citation statements)

References 4 publications

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“…Excessive perioperative fluid administration has been shown to promote postoperative lung injury after pulmonary resection. [1][2][3][4][5][6][7] It is therefore recommended to limit the volume of infused crystalloids in these operations. A recent survey of current hemodynamic management practices among patients undergoing surgery in Europe and in the United States reported urinary output as one of the most widely used indications for volume expansion in the perioperative period.…”

mentioning

confidence: 99%

Fluid management during video-assisted thoracoscopic surgery for lung resection: A randomized, controlled trial of effects on urinary output and postoperative renal function

Matot

Dery

Bulgov

et al. 2013

The Journal of Thoracic and Cardiovascular Surgery

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mentioning

confidence: 99%

Fluid management during video-assisted thoracoscopic surgery for lung resection: A randomized, controlled trial of effects on urinary output and postoperative renal function

Matot

Dery

Bulgov

et al. 2013

The Journal of Thoracic and Cardiovascular Surgery

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“…Cardiopulmonary complications, especially ALI and ARDS, are the leading cause of postoperative mortality. After Zeldin et al [5] described postoperative pulmonary edema with increased volume of perioperative IV fluid as a possible risk factor; many began to employ restrictive perioperative fluid management for lung resection. Some have suggested that increase in intra-and postoperative fluid administration is associated with postoperative ALI and ARDS [6][7][8] while others argue against this [9].…”

Section: Discussionmentioning

confidence: 99%

Following Lung Resection: Does the volume of perioperative fluid affect patient outcomes?

Thai¹,

Asai²,

Samayoa³

et al. 2018

AJCTS

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Introduction: Appropriate amount of intraoperative intravenous (IV) fluid has been controversial in thoracic surgery. In our study, we investigated outcome measures associated with patients undergoing lung resection for non-small cell lung cancer (NSCLC) and the correlation with perioperative IV fluids. Methods: A retrospective review of consecutive patientsundergoing open lobectomy and bilobectomy for primary NSCLC between January 2010 and June 2016 was performed. Patient were divided into those receiving intraoperative IV fluid less than 7 cc/ kg/hr, 7 to 10 cc/kg/hr, and equal to or greater than 10 cc/kg/hr. Postoperative IV fluid was also recorded. We compared this against patient's demographics, intraoperative parameters and complication rate.Results: 142 patients with the mean age of 66.5 years were identified. There was no significant difference in the hospital or ICU stay between any of the groups. Patients who received greater than 10 cc/kg/hr intraoperative IV fluids have higher rate of one or more complications and reoperation rate. Patients who had greater than 1.5 cc/kg/hr perioperative fluid have significantly higher duration of chest tube in-situ and pulmonary complication rate. Patients receiving less than 7 cc/kg/hr intraoperative IV fluids have no benefits compare to the group receiving larger IV fluid. Conclusions:In our study, giving high amounts of intraoperative and perioperative IV fluid has adverse effects on postoperative complications. Giving less (< 7 cc/kg/hr) intraoperative IV fluid has no additional benefits. We propose the optimal amount of intraoperative and perioperative IV fluid given should be in between these two extremes. Citation: Thai Vu, Asai M, Samayoa AX, Hodge C, et al. (2018) Following Lung Resection: Does the volume of perioperative fluid affect patient outcomes? Cardiovascular Thoracic Surgery 3(3):1-6.

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“…Blood flow to the remaining lung increased as a result of lung amputation, excessive intravascular volume and surgical stress responses. Hemodynamic shear stress can physically injure capillary endothelium, allowing protein-rich fluid to fill the interstitial and alveolar space [22]. Similarly, excessive perioperative intravascular volume may cause postoperative lung injury.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Postoperative Acute Exacerbation of Idiopathic Interstitial Pneumonia Following Surgery for Primary Lung Cancer

Tanaka¹,

Abe²,

Hayashi³

et al. 2014

OJRD

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Objective: Postoperative acute exacerbation of idiopathic interstitial pneumonia (IIP) is a serious complication in patients with lung cancer. This study was aimed to investigate risk factors for postoperative acute exacerbation of IIP in surgery for primary lung cancer. Method: We evaluated retrospectively 37 IIP patients combined with primary lung cancer who underwent lung resection for lung cancer from January 2006 and March 2010. Preoperative and perioperative clinical data were collected and analyzed. Results: Ten of 37 patients (27.0%) developed acute exacerbation of IIP after surgery for primary lung cancer and five patients (13.5%) died of progressive respiratory failure. There was no significant difference in preoperative clinical factors between acute exacerbation (AE) group and non-acute exacerbation (non-AE) group. In perioperative factors, the duration of anesthesia is significantly longer in AE group than in non-AE group. Conclusion: These data suggest that it is unable to predict postoperative acute exacerbation of IIP from preoperative clinical data. Perioperative and postoperative management might be important to prevent acute exacerbation of IIP combined lung cancer.

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Postpneumonectomy pulmonary edema

Cited by 193 publications

References 4 publications

Fluid management during video-assisted thoracoscopic surgery for lung resection: A randomized, controlled trial of effects on urinary output and postoperative renal function

Fluid management during video-assisted thoracoscopic surgery for lung resection: A randomized, controlled trial of effects on urinary output and postoperative renal function

Following Lung Resection: Does the volume of perioperative fluid affect patient outcomes?

Risk Factors for Postoperative Acute Exacerbation of Idiopathic Interstitial Pneumonia Following Surgery for Primary Lung Cancer

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