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Korean J Anesthesiol. 2004 Jan;46(1):109-113. Korean. Case Report.
Shin HW , Seo YS , Cho H , Lee HW , Lim HJ , Yoon SM , Chang SH .
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea.
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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