Suspected reexpansion pulmonary edema during emergence from general anesthesia in a child with developmental dysplasia of the hip

Kira, Shintaro; Tozawa, Koji; Sato, Miyuki; Fukunaga, Tsutana; Suzuki, Masayoshi

doi:10.1111/j.1460-9592.2012.03859.x

Cited by 2 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They speculated that the RPE was caused by increased pulmonary capillary permeability due to rapid reexpansion, a rapid increase in blood flow during reexpansion, and an increased pressure gradient between the alveolar space and the pulmonary capillaries. In the case experienced by the current author , RPE occurred during emergence from general anesthesia. Milne et al .…”

Section: Discussionmentioning

confidence: 81%

“…Despite RPE now being recognized to occur more frequently in patients under the age of 40 years , there has been no detailed analysis of reported pediatric cases of RPE to date. The author's experience with RPE led to this review of the current medical literature regarding RPE in the pediatric population. This study reviews the previously reported cases of pediatric RPE, elucidates the characteristics of this condition, compares pediatric cases with adult cases, and discusses prevention and treatment, especially in the perioperative period.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reexpansion pulmonary edema: review of pediatric cases

Kira

2013

Pediatric Anesthesia

Self Cite

View full text Add to dashboard Cite

Reexpansion pulmonary edema (RPE) is an increased permeability pulmonary edema that usually occurs in the reexpanded lung after several days of lung collapse. This condition is recognized to occur more frequently in patients under the age of 40 years, but there has been no detailed analysis of reported pediatric cases of RPE to date. For this review, PubMed literature searches were performed using the following terms: 're(-)expansion pulmonary (o)edema' AND ('child' OR 'children' OR 'infant' OR 'boy' OR 'girl' OR 'adolescent'). The 22 pediatric cases of RPE identified were included in this review. RPE was reported in almost the entire pediatric age range, and as in adult cases, the severity ranged from subclinical to lethal. No specific treatment for RPE was identified, and treatment was administered according to the clinical features of each patient. Of the 22 reported cases, 10 occurred during the perioperative period, but were not related to any specific surgical procedures or anesthetic techniques, or to the duration of lung collapse. Pediatric anesthesiologists should be aware that pediatric RPE can occur after reexpansion of any collapsed lung and that some invasive therapies can be useful in severe cases.

show abstract

Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Reexpansion pulmonary edema: review of pediatric cases

Kira

2013

Pediatric Anesthesia

Self Cite

View full text Add to dashboard Cite

show abstract

“…Despite the fact that the rate of occurrence of RPE after drainage of a pneumothorax varies from 14.4% to 27%, there have only been 4 reports from the pediatric population [3][4][5]. Pediatric cases of RPE with diseases other than pneumothorax are also rare; RPE has been reported in children with pleural effusion due to nephrotic syndrome [6] or non-Hodgkin's lymphoma [7,8], with reinflation of a retracted lung following patent ductus arterious ligation [9] or following general anesthesia [10], and with pleural empyema [11].…”

Section: Discussionmentioning

confidence: 99%

Re-expansion pulmonary edema in a boy with spontaneous pneumothorax during an influenza B virus infection

Watanabe¹

2012

OJPed

View full text Add to dashboard Cite

Re-expansion Pulmonary Edema (RPE) is an uncommon complication following rapid re-expansion of the lungs, and the most common disorder associated with RPE is spontaneous pneumothorax. The majority of patients with RPE associated with pneumothorax have been adults; only 4 cases have been reported in children. We present a patient who developed RPE after treatment of spontaneous pneumothorax that occurred during an influenza B virus infection. His condition improved only with oxygen supplementation and intravenous corticosteroids. Infection with influenza B virus leads to increased production of lung epithelial oxidants, which might have contributed to the development of RPE in our patient

show abstract

Suspected reexpansion pulmonary edema during emergence from general anesthesia in a child with developmental dysplasia of the hip

Cited by 2 publications

References 2 publications

Reexpansion pulmonary edema: review of pediatric cases

Reexpansion pulmonary edema: review of pediatric cases

Re-expansion pulmonary edema in a boy with spontaneous pneumothorax during an influenza B virus infection

Contact Info

Product

Resources

About