2012
DOI: 10.1007/s11748-012-0067-6
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Re-expansion pulmonary edema in a patient with total pneumothorax: a hazardous outcome

Abstract: Re-expansion pulmonary edema (REPE) is a rare complication of treatment of spontaneous pneumothorax or large pleural effusions. As a complication of spontaneous pneumothorax treatment, only few cases are documented, and even fewer document the role of non-invasive continuous positive airway pressure mechanical ventilation for treatment of this rare entity. We present a case of 23-year-old man who presented with left-sided pneumothorax, developed unilateral REPE and was treated with non-invasive continuous posi… Show more

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Cited by 6 publications
(21 citation statements)
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“…If spontaneous breathing is maintained, it is possible to minimize ventilation/perfusion mismatch due to the ventilator. Noninvasive ventilation (NIV), which is capable of applying positive pressure to the alveoli while maintaining spontaneous breathing, has recently emerged as a method of treatment for REPE (3,4). However, NIV therapy has the disadvantage that effective treatment is difficult if the compliance of the treated patient is low.…”
Section: Discussionmentioning
confidence: 99%
“…If spontaneous breathing is maintained, it is possible to minimize ventilation/perfusion mismatch due to the ventilator. Noninvasive ventilation (NIV), which is capable of applying positive pressure to the alveoli while maintaining spontaneous breathing, has recently emerged as a method of treatment for REPE (3,4). However, NIV therapy has the disadvantage that effective treatment is difficult if the compliance of the treated patient is low.…”
Section: Discussionmentioning
confidence: 99%
“…Lung injury develops due to increasing endovascular permeability, which is caused by rapid expansion of the collapsed lung during insertion of a chest tube (1). The incidence of REPE is thought to be low, especially as REPE causing clinically significant respiratory failure is very rare (2)(3)(4). Some reviews have evaluated case reports, but there is no clinical research report about the progress and treatment of REPE.…”
Section: Introductionmentioning
confidence: 99%
“…Esta, associada à distensão alveolar abrupta e ao aumento da pressão hidrostática por aumento do uxo sanguíneo do pulmão afectado, condiciona alterações signi cativas na barreira alvéolo-capilar que facilitam a passagem de líqui-do e proteínas para o interstício O diagnóstico assenta na sintomatologia e na presença de alterações imagiológicas compatíveis. A apresentação clíni-ca do EPR é variável podendo cursar apenas com achados imagiológicos sugestivos em doentes assintomáticos 3 até casos de insu ciência respiratória com necessidade de ventilação mecânica [8][9][10] e morte 11 . Em TC, o EPR é frequentemente traduzido por áreas em vidro despolido, consolidação e/ou espessamento septal intra e interlobular com distribuição preferencialmente periférica e em zonas dependentes 12 .…”
Section: Introductionunclassified
“…A apresentação clíni-ca do EPR é variável podendo cursar apenas com achados imagiológicos sugestivos em doentes assintomáticos 3 até casos de insu ciência respiratória com necessidade de ventilação mecânica [8][9][10] e morte 11 . Em TC, o EPR é frequentemente traduzido por áreas em vidro despolido, consolidação e/ou espessamento septal intra e interlobular com distribuição preferencialmente periférica e em zonas dependentes 12 .…”
Section: Introductionunclassified
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