Re-expansion pulmonary edema after pleurocan catheterization: a case report
Open Access
- 4 July 2018
- journal article
- Published by The European Research Journal in The European Research Journal
- Vol. 4 (3), 245-247
- https://doi.org/10.18621/eurj.373351
Abstract
Re-expansion pulmonary edema (RPE) is a rare but potentially hazardous complication following evacuation of the pleural region. Symptomatic RPE occurs in less than 1% of patients after pleural drainage. Early diagnosis and treatment determines the progression of the disease and it is life-saving. The present case describes a 68-year-old man who developed RPE with the ipsilateral collapsed lung 6 hours after pleural drainage of a non-malignant effusion. He was intubated and 6 hours after aggressive treatment with mechanical ventilation support oxygenation was improved and the patient's blood gas analysis recovered. Over the course of his 12-day hospitalization, he was extubated and oxygen support was slowly weaned down. Mortality rate of RPE in severe cases is approximately 20%, therefore preventive interventions gain importance. In spite of the rare incidence of RPE, being aware of this potential condition can allow for early and proper management.Keywords
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