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Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
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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.

Pediatric Emergency Care
|March 2, 2018
PubMed

Insights

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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