Reexpansion pulmonary edema: Difference between revisions
(Created page with "==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 P...") |
No edit summary |
||
| Line 2: | Line 2: | ||
*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> | *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 > 30% in size | ||
**PTX symptoms for prolonged time, > 3 days | **PTX symptoms for prolonged time, > 3 days | ||
===Prevention=== | |||
*Consider using smaller bore chest tubes | |||
*Other strategies include applying water seal only or attaching only a Heimlich valve without suction | |||
==Clinical Features== | ==Clinical Features== | ||
*Typically progresses over 2 days immediately after thoracentesis | *Typically progresses over 2 days immediately after thoracentesis | ||
**After 2 days, subsequent rapid improvement | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 21: | Line 19: | ||
==Evaluation== | ==Evaluation== | ||
**Radiographic opacities in previously collapsed lung | |||
==Management== | ==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== | ==Disposition== | ||
| Line 30: | Line 29: | ||
==See Also== | ==See Also== | ||
*[[Chest tube]] | |||
*[[Pneumothorax]] | |||
==External Links== | ==External Links== | ||
Revision as of 19:15, 18 July 2019
Background
- Incidence may be as low as 1% or as high as 14%[1]
Risk Factors
Poorly understood, but may include:
- PTX > 30% in size
- PTX symptoms for prolonged time, > 3 days
Prevention
- Consider using smaller bore chest tubes
- Other strategies include applying water seal only or attaching only a Heimlich valve without suction
Clinical Features
- Typically progresses over 2 days immediately after thoracentesis
- After 2 days, subsequent rapid improvement
Differential Diagnosis
Evaluation
- 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
External Links
References
- ↑ 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.