Korean J Anesthesiol.
2004 Jan;46(1):109-113. 10.4097/kjae.2004.46.1.109.
Unilateral Pulmonary Edema in the Lateral Decubitus Position: A Case Report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea.
- KMID: 2237268
- DOI: http://doi.org/10.4097/kjae.2004.46.1.109
Abstract
- Characteristically pulmonary edema is bilateral, unless there is an underlying defect or abnormality in the cardiopulmonary system. Unilateral pulmonary edema following general anesthesia is a rare complication in a healthy patient. The etiology of unilateral pulmonary edema include, the re-expansion of a collapsed lung, unilateral pulmonary veno-occulusive disease, pulmonary contusion, compression of pulmonary vasculatures, cerebral autonomic dysfunction, bronchial obstruction and severe ischemic left ventricular dysfunction. We describe a 52-yr-old patient who developed acute unilateral pulmonary edema after a total hip replacement athroplasty in the lateral decubitus position. The patient recovered following 16 hours of intensive treatment involving fluid restriction, diuretics, sedation, and continuous positive airway pressure ventilation.
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