Reexpansion pulmonary edema after drainage of pneumothorax

Reexpansion pulmonary edema after drainage of pneumothorax

Reexpansion pulmonary edema is a rare complication of thoracocentesis with mortality rates as high as 20%. It presents with tachycardia, hypotension, and hypoxemia within hours after thoracocentesis. The exact pathophysiology is not known. The risk factors for the same should be carefully assessed a...

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Bibliographic Details
Published in:Medical journal. Armed Forces India Vol. 76; no. 4; pp. 472 - 475
Main Authors: Prabhakar, Rajat, Khan, M.H.A.
Format: Journal Article
Language:English
Published: Elsevier B.V 01-10-2020
Elsevier
Subjects:
Case Report
Intercostal drainage tube
Lung collapse
Pneumothorax
Reexpansion pulmonary edema
Thoracocentesis
Intercostal drainage tube
Thoracocentesis
Pneumothorax
Reexpansion pulmonary edema
Lung collapse
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Description
Summary:Reexpansion pulmonary edema is a rare complication of thoracocentesis with mortality rates as high as 20%. It presents with tachycardia, hypotension, and hypoxemia within hours after thoracocentesis. The exact pathophysiology is not known. The risk factors for the same should be carefully assessed and considered before chest tube drainage. The treatment is supportive. A case of ipsilateral reexpansion pulmonary edema after chest tube drainage of spontaneous pneumothorax is described and illustrated. He was managed with noninvasive ventilation, inotropes, and other supportive treatment and recovered completely.
ISSN:0377-1237
2213-4743
DOI:10.1016/j.mjafi.2019.07.005