The condition occurs in the setting of rapid expansion of a collapsed lung, with acute onset shortness of breath usually occurring within hours of re-expansion. The onset of pulmonary edema can be delayed by up to 24 hours in some cases. It occurs following ~1% of pneumothorax re-expansions or thoracentesis procedures.
Reexpansion Pulmonary Edema. General Considerations. Rare complication of rapid expansion of the lung passively collapsed by a large pleural effusion or pneumothorax. Greatest risks are in young patients with large pneumothoraces, pulmonary collapse of more than 7 days, or removal of up to 3 liters of pleural fluid at one time.
The ET tube was lower on a film 4 hours prior to the first. The left lung was collapsed due to a right mainstem intubation. It was not recognized by the team on the floor. They did retract the ET tube and also put in a chest tube which was not ne…
The radiographic evidence of reexpansion pulmonary edema is a unilateral alveolar filling pattern, seen within a few hours of reexpansion of the lung. The edema may progress for 24-48 h and persist for 4-5 days. Human data on the pathophysiology of reexpansion pulmonary edema derive from small series of patients, case reports, and reviews of the literature. On the other hand, a larger body of data exists on experimental reexpansion pulmonary edema .
Reexpansion pulmonary edema – PubMed, Re-expansion pulmonary oedema – The Lancet, Re-expansion pulmonary edema – Radiopaedia, Clinical and Radiologic Features of Pulmonary Edema …
Reexpansion Pulmonary Edema. Reexpansion pulmonary edema is an uncommon iatrogenic complication that occurs after the rapid reexpansion of a collapsed lung following drainage or evacuation of pleural disease such as pneumothorax, hydrothorax, or hemothorax. In 64% of cases, reexpansion pulmonary edema appears suddenly within 1 hour after lung reexpansion.
Re-expansion pulmonary edema (REPE) is an uncommon iatrogenic complication that follows the re-expansion of the lung after performing a thoracentesis for large amounts of pneumothorax or pleural effusion (1-4).It usually occurs within one to two hours after a thoracentesis, but the onset time is variable and ranges from the period immediately following the procedure to 24.
A case of pulmonary edema following reexpansion of a collapsed lung due to pneumothorax is described and illustrated. The importance of recognizing this relatively uncommon phenomenon is stressed. The development of such edema can be prevented by avoiding application of sudden and excessive negative pleural pressures during the evacuation of a pneumothorax or a pleural .
Re-expansion pulmonary oedema. Re-expansion pulmonary oedema Lancet. 2018 Aug 11392(10146):507. doi: 10.1016/S0140-6736(18)31722-7. Epub 2018 Aug 9. Authors Alice Petiot 1 … Pulmonary Edema / diagnostic imaging Pulmonary Edema / …
