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Pulmonary expansion edema during the management of a spontaneous pneumothorax. Report of one case
Revista medíca de Chile, 2018-11, Vol.146 (11), p.1343-1346
[Peer Reviewed Journal]
EISSN: 0717-6163 ;DOI: 10.4067/S0034-98872018001101343 ;PMID: 30725049
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Title:
Pulmonary expansion edema during the management of a spontaneous pneumothorax. Report of one case
Author:
Barril Merino, Carlos
;
Solovera R, María E
;
Bannura Y, Felipe
;
Salas V, Patricio
Subjects:
Chest Tubes - adverse effects
;
Drainage - adverse effects
;
Humans
;
Male
;
Pneumothorax - complications
;
Pneumothorax - therapy
;
Pulmonary Edema - diagnostic imaging
;
Pulmonary Edema - etiology
;
Pulmonary Edema - therapy
;
Radiography, Thoracic
;
Risk Factors
;
Treatment Outcome
;
Young Adult
Is Part Of:
Revista medíca de Chile, 2018-11, Vol.146 (11), p.1343-1346
Description:
Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.
Publisher:
Chile
Language:
Spanish
Identifier:
EISSN: 0717-6163
DOI: 10.4067/S0034-98872018001101343
PMID: 30725049
Source:
Freely Accessible Journals
MEDLINE
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