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Related Experiment Videos

[Postoperative re-expansion causing unilateral pulmonary edema].

E Lemoine1, L Martin, M Robert

  • 1Unité d'Anesthésie-Pédiatrique, Hôpital Gatien-de-Clocheville, Tours.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1992
PubMed
Summary

Re-expansion pulmonary edema occurred in a child after pleural surgery for a lung tumor. Prompt ventilation with positive end-expiratory pressure led to a full recovery, highlighting a rare but serious complication.

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Area of Science:

  • Pediatric Thoracic Surgery
  • Critical Care Medicine
  • Pulmonary Complications

Background:

  • A 7-year-old girl underwent surgery for a lung tumor, complicated by postoperative hemothorax and left upper lobe atelectasis.
  • Following chemotherapy, a reoperation was performed to address organized hemothorax and pleural thickening.

Observation:

  • The patient rapidly developed clinical signs of re-expansion pulmonary edema post-anesthesia, including tachypnea, cyanosis, and decreased oxygen saturation.
  • Physical examination revealed end-inspiratory crepitations in the left lung, and chest imaging showed left-sided alveolar opacities.

Findings:

  • The case represents the first reported instance of re-expansion pulmonary edema in a pediatric patient following pleural surgery.
  • The patient required re-ventilation with positive end-expiratory pressure (PEEP) and was successfully extubated after 36 hours.

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Implications:

  • Re-expansion pulmonary edema is a rare but potentially fatal complication, with an estimated mortality rate of 20% in literature.
  • This case underscores the importance of vigilance for this complication in pediatric patients undergoing thoracic procedures, even after initial recovery.