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Korean J Crit Care Med > Volume 20(1); 2005 > Article
Korean Journal of Critical Care Medicine 2005;20(1): 87-91.
Re-expansion Pulmonary Edema after Chest Tubing: A Case Report
Seong Wook Jeong, Chang Mo Kim, Cheol Hun Choi, Dong Jin Shin, Hong Beom Bae, Sung Su Chung, Kyung Yeon Yoo, Chang Young Jeong
1Department of Anesthesiology and Pain Medicine, Chonnam University Medical School, Gwangju, Korea. anesman@jnu.ac.kr
2College of Dentistry, Chonnam University Medical School, Gwangju, Korea.
ABSTRACT
Re-expansion pulmonary edema (RPE) is a rare complication associated with the treatment of collapsed lung caused by pneumothorax, atelectasis, pleural effusion in which a large amount of air or effusion fluid is evacuated. In general RPE is resulted from more than 3 days of lung collapse and application of high negative intrapleural pressure. However, it is reported that RPE could be developed despite the collapse period is short and negative pressure suction is not performed. It also has been known that the rate of reexpansion is more important than amount of evacuated air, or collapse period in the development of RPE. Seventeen-year-old female was undergone suture hemostasis for liver laceration, in which RPE was occurred after closed thoracostomy for pleural effusion on postoperative-27 day. We present a case report with review of related articles.
Key Words: Collapsed lung; Microvascular permeability; Pleural effusion; Re-expansion pulmonay edema
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