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Reexpansion pulmonary edema due to high-frequency jet ventilation: report of a case
1Second Department of Surgery, Shiga University of Medical Science, Seta, Otsu, Japan.
Surgery Today
|February 24, 2001
Abstract:
Barotrauma is well known to be a relatively common complication of high-frequency jet ventilation (HFJV); however, the occurrence of reexpansion pulmonary edema (REPE) is extremely rare. We report herein a case of REPE caused by difficulties encountered with anesthesia using HFJV during video-assisted thoracic surgery (VATS) for a spontaneous pneumothorax. We believe the rapid increase in pressure in the lung after degassing for VATS resulted in REPE as well as typical barotrauma.