View source for Reexpansion pulmonary edema

==Background==
*Incidence may be as low as 1% or as high as 14%<ref>Mukhopadhyay A, Mitra M, Chakrabati S. Reexpansion pulmonary edema following thoracentesis. J Assoc Chest Physicians [serial online] 2016 [cited 2018 Oct 11];4:30-2. Available from: http://www.jacpjournal.org/text.asp?2016/4/1/30/159871.</ref>

===Risk Factors===
Poorly understood, but may include:
*PTX > 30% in size
*PTX symptoms for prolonged time, >3 days
*Type 2 DM

===Prevention===
*Consider using smaller bore chest tubes
*Other strategies include applying water seal only or attaching only a Heimlich valve without suction

==Clinical Features==
*Unilateral pulmonary edema presenting within minutes to hours after thoracentesis or other rapid thoracic decompression
**Patients will generally present with acute onset dyspnea, cough, hypoxemia, tachycardia
***Potentially fatal complication

==Differential Diagnosis==
{{Pulmonary edema types}}

==Evaluation==
[[File:PMC2827779 kjr-11-164-g003.png|thumb|Bilateral re-expansion pulmonary edema seven hours after thoracentesis for right pneumothorax. Reveals mixed ground-glass opacity and minimal consolidation combined with intralobular reticulations and interlobular septal thickening; Note tip of chest tube (arrowhead).]]
*Radiographic opacities in previously collapsed lung

==Management==
*Supportive, as is with other forms of noncardiogenic pulmonary edema
**If a patient requires intubation, positive pressure ventilation improves symptoms after 24-48 hours

==Disposition==


==See Also==
*[[Chest tube]]
*[[Pneumothorax]]
*[[Needle thoracostomy]]

==External Links==


==References==
<references/>

[[Category:Pulmonary]]