Korean J Anesthesiol.  1997 Feb;32(2):316-319. 10.4097/kjae.1997.32.2.316.

Bilateral Reexpansion Pulmonary Edema after Decompression of Intraoperative Tension Pneumothorax: A case report

• Choi HG
• Cho SD
• Song NW

• KMID: 2240321
• DOI: http://doi.org/10.4097/kjae.1997.32.2.316

Abstract

Reexpansion pulmonary edema(RPE) is a complication of the treatment of lung collapse secondary to pneumothorax, pleural effusion or atelectasis, and generally believed to occur ipsilaterally when a chronically collapsed lung is rapidly reexpanded by evacuation of large amount of air or fluid. Clinical manifestations of RPE are dyspnea, tachypnea, cyanosis, frothy blood-tinged sputum, wet rale, and expiratory wheezing. Hypotension and decrease in organ perfusion can occur. We experienced intraoperative tension pneumothorax probably due to positive pressure ventilation or pleural injury during central venous catheterization through internal jugular vein. And bilateral RPE combined with acute renal failure occurs after spontaneous decompression of tension pneumothorax with chest tube insertion, even with brief duration of lung collapse.

Keyword

Complications pulmonary; edema; Kidney acute failure

MeSH Terms

Acute Kidney Injury
Catheterization, Central Venous
Central Venous Catheters
Chest Tubes
Cyanosis
Decompression*
Dyspnea
Edema
Hypotension
Jugular Veins
Lung
Perfusion
Pleural Effusion
Pneumothorax*
Positive-Pressure Respiration
Pulmonary Atelectasis
Pulmonary Edema*
Respiratory Sounds
Sputum
Tachypnea