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Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
Published on: July 28, 2018
Reexpansion Pulmonary Edema in Pediatrics
Alexander W Hirsch1, Joshua Nagler
1Fellow (Hirsch) and Director of Medical Education (Nagler), Division of Emergency Medicine, Boston Children's Hospital; and Clinical Fellow (Hirsch) and Assistant Professor (Nagler), Harvard Medical School Boston, Boston, MA.
Reexpansion pulmonary edema is a rare complication following pleural fluid or air drainage. Understanding risk factors and presentation is key for timely diagnosis and supportive treatment.
Area of Science:
- Pulmonology
- Critical Care Medicine
Background:
- Reexpansion pulmonary edema (RPE) is an uncommon complication after draining large pneumothorax or pleural effusion.
- Risk factors and pathophysiological mechanisms for RPE are not fully elucidated.
- RPE can present with varied clinical severity, from mild symptoms to life-threatening respiratory compromise.
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