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Re-expansion Pulmonary Edema

  • Kristin Wagner
  • Gregory D. Trachiotis
Chapter
  • 226 Downloads

Abstract

Re-expansion pulmonary edema (RPE) remains a relatively rare complication of evacuation of air or fluid from the pleural space, rapid reexpansion of substantial atelectasis, or following lung resection. Pulmonary edema following pneumonectomy was first described in the 1940’s by Gibbon and Gibbon, who demonstrated in experimental animals the clinical progression from pulmonary edema to respiratory failure and even death in animals receiving blood product transfusion after lobectomy. The etiology of the edema was thought to be an increase in capillary pressure in the remaining lung, and this theory, as it relates to capillaiy leak and increased interstitial fluid, has similarities to current understanding regarding the pathophysiology of RPE.

Keywords

Continuous Positive Airway Pressure Capillary Pressure Adult Respiratory Distress Syndrome Tube Thoracostomy Water Seal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Suggested Reading

  1. Baumann MH, Strange C. Treatment of Spontaneous Pneumothorax. Chest 1997 Sept;112(3):789–804.PubMedCrossRefGoogle Scholar
  2. DeCampos JR, et al. Thoracoscopy talc poudrage: a 15-year experience. Chest. 2001 Mar;119(3):801–6.CrossRefGoogle Scholar
  3. Mahfood S, Hix WR, Aaron BL, Blaes P, and Watson DC. Reexpansion pulmonary edema. Ann Thorac Surg 1988; 45:340–345.PubMedCrossRefGoogle Scholar
  4. Matsuura Y, Nomimura T, Murakami H, Matsushima T, Kakehashi M and Kajihara H. Clinical Analysis or Reexpansion Pulmonary Edema. Chest. 1991 Dec; 100(6): 1562–66.PubMedCrossRefGoogle Scholar
  5. Nakamura H, et al. Elevated levels of interleukin-8 and leukotriene B4 in pulmonary fluid of a patient with reexpansion pulmonary edema. Am J Repir Crit Care Med 1994;149:1037–40.Google Scholar
  6. Trachiotis GD, Hix WR. Postpneumonectomy Pulmonary Edema. Hospital Physician 1995 March; 31: 30–36.Google Scholar
  7. Trachiotis GD, Vricella LA, Aaron BL, and Hix WR. As originally published in 1988: Reexpansion pulmonary edema. Updated in 1997. Ann Thorac Surg. 1997 Apr,63(4): 1206–7.PubMedCrossRefGoogle Scholar
  8. Weissberg D, Refaely Y. Pneumothorax: Experience with 1,199 patients. Chest. 2000 May; 117(5):Google Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Kristin Wagner
  • Gregory D. Trachiotis

There are no affiliations available

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