Re-expansion pulmonary oedema

Petiot, A; Tawk, Sammy; Ghaye, Benoît

doi:10.1016/s0140-6736(18)31722-7

Cited by 10 publications

(6 citation statements)

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“…Re-expansion edema may develop in very few patients following chest drainage. In very rare cases, intubation is required due to the dissemination of pulmonary edema to both lungs ( 25 ). Patients with re-expansion edema should be identified early and dealt with promptly to avoid poor prognosis.…”

Section: Discussionmentioning

confidence: 99%

Large pneumothorax following thoracic and lumbar tumor surgery: Risk factors and management strategies

Lou

Zhang²,

Wang³

et al. 2023

Front. Surg.

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ObjectiveLarge pneumothorax is a rare but dangerous complication following thoracic and lumbar tumor surgery. There is little discussion about the features of large pneumothorax following spinal tumor surgery. The purpose of this study was to analyze the characteristics of postoperative pneumothorax, identify factors related to large pneumothorax, and propose a management algorithm for prevention, diagnosis, and treatment.MethodsIncluded in this retrospective study were 118 patients who developed pneumothorax after receiving thoracic and lumbar tumor surgery between January 2015 and October 2021. A measurement of lung compression ≥20% on chest CT or x-ray was defined as large pneumothorax, and potential risk factors for large pneumothorax were identified by univariate analysis.ResultsSpinal tumor history and intraoperative blood loss were risk factors for large pneumothorax. The common symptoms of postoperative pneumothorax were chest pain, chest tightness and dyspnea. The mean longest transverse diameter of tumors was 6.63 ± 2.4 cm. En bloc resection was performed in 70 patients, with a mean operation time of 6.9 ± 2.5 h and mean intraoperative blood loss of 1771 ± 1387 ml. The most common pathologies were chondrosarcoma, giant cell tumors of bone, and neurogenic tumors.ConclusionDuring surgery, an artificial dura mater patch and a prolene suture can be used to repair the pleural and lung defects. We recommend chest CT as the preferred method for identifying postoperative pneumothorax. If a patient presents severe dyspnea, a large pneumothorax or concurrent pleural effusion, application of chest drainage is strongly recommended.

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Section: Discussionmentioning

confidence: 99%

Large pneumothorax following thoracic and lumbar tumor surgery: Risk factors and management strategies

Lou

Zhang²,

Wang³

et al. 2023

Front. Surg.

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“…It occurs in <1% of cases where a lung has been rapidly expanded postchest tube drainage. [ 7 ] It would be prudent for emergency physicians to suspect and initiate early management of REPE in patients suffering from pneumothoraces which have undergone drainage.…”

Section: Discussionmentioning

confidence: 99%

Reexpansion pulmonary edema: A rare complication of pneumothorax drainage

et al. 2020

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Among all the noncardiac causes of pulmonary edema, unilateral reexpansion pulmonary edema is one of the rarest complication of expansion of a collapsed lung. It is largely unknown and a potentially fatal complication. We present the case of a 51-year-old gentleman who presented to our emergency department with shortness of breath. X-ray revealed significant right-sided pneumothorax with associated collapse of the right lung. An intercostal tube was inserted into the right 5 th intercostal space and a repeat X-ray revealed well-expanded lung field. Soon, the patient developed increased shortness of breath and hypoxia. Repeat X-ray was suggestive of pulmonary edema. He was started on noninvasive positive pressure ventilation and responded well to it. Emergency physicians should have a high index of suspicion and initiate early management of reexpansion pulmonary edema in patients suffering from pneumothoraces which have undergone drainage.

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“…Clinical signs of RPO include anterior chest discomfort, dyspnoea and desaturation. Recognised risk factors include rapid removal of fluid over a short period of time, younger age and large pneumothorax or massive effusion causing pulmonary collapse for a duration of >1 week [ 95 , 96 ].…”

Section: Managementmentioning

confidence: 99%

Malignant pleural disease

Piggott,

Hayes,

Greene

et al. 2023

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Malignant pleural disease represents a growing healthcare burden. Malignant pleural effusion affects approximately 1 million people globally per year, causes disabling breathlessness and indicates a shortened life expectancy. Timely diagnosis is imperative to relieve symptoms and optimise quality of life, and should give consideration to individual patient factors. This review aims to provide an overview of epidemiology, pathogenesis and suggested diagnostic pathways in malignant pleural disease, to outline management options for malignant pleural effusion and malignant pleural mesothelioma, highlighting the need for a holistic approach, and to discuss potential challenges including non-expandable lung and septated effusions.

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Re-expansion pulmonary oedema

Cited by 10 publications

References 0 publications

Large pneumothorax following thoracic and lumbar tumor surgery: Risk factors and management strategies

Large pneumothorax following thoracic and lumbar tumor surgery: Risk factors and management strategies

Reexpansion pulmonary edema: A rare complication of pneumothorax drainage

Malignant pleural disease

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