Reexpansion pulmonary edema: Difference between revisions
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Revision as of 19:09, 18 July 2019
Background
- Incidence may be as low as 1% or as high as 14%[1]
- Radiographic opacities in previously collapse lung
- After 2 days, subsequent rapid improvement
- To avoid this complication, consider using a small bore chest tube
- Other strategies include applying water seal only or attaching only a Heimlich valve without suction
- If development occurs, treatment is supportive as is with other forms of noncardiogenic pulmonary edema
- If a patient requires intubation, positive pressure ventilation improves symptoms after 24-48 hours
- Risk factors are poorly understood but may include:
- PTX > 30% in size
- PTX symptoms for prolonged time, > 3 days
Clinical Features
- Typically progresses over 2 days immediately after thoracentesis
Differential Diagnosis
Evaluation
Management
Disposition
See Also
External Links
References
- ↑ Mukhopadhyay A, Mitra M, Chakrabati S. Reexpansion pulmonary edema following thoracentesis. J Assoc Chest Physicians [serial online] 2016 [cited 2018 Oct 11];4:30-2. Available from: http://www.jacpjournal.org/text.asp?2016/4/1/30/159871.