Re-expansion pulmonary oedema - Differential lung ventilation comes to the rescue

Shreepathi K. Achar, Souvik Chaudhuri, H. M. Krishna, M. S. Sagar

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Re-expansion pulmonary oedema (REPE) is a rare complication following re-inflation of a chronically collapsed lung, which is often fatal. We present a case of a 22-year-old male who presented to the hospital with severe respiratory distress and a history of blunt abdominal trauma 3 months back. He was diagnosed to have left sided diaphragmatic hernia with a mediastinal shift to the right, and was posted for emergency repair of the same. After surgical decompression of the left hemi-thorax and reduction of the abdominal contents, re-expansion of the left lung was achieved, following which patient developed REPE. A left sided double lumen tube was then inserted to prevent flooding and cross contamination of the right lung and ventilation of both lungs was maintained intraoperatively. Post-operatively, REPE was successfully managed by differential lung ventilation with a lung salvage strategy to the left lung and a lung protective strategy to the right lung.

Original languageEnglish
Pages (from-to)330-333
Number of pages4
JournalIndian Journal of Anaesthesia
Volume58
Issue number3
DOIs
Publication statusPublished - 2014
Externally publishedYes

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Pulmonary Edema
Ventilation
Lung
Surgical Decompression
Diaphragmatic Hernia
Economic Inflation
Emergencies
Thorax
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Achar, Shreepathi K. ; Chaudhuri, Souvik ; Krishna, H. M. ; Sagar, M. S. / Re-expansion pulmonary oedema - Differential lung ventilation comes to the rescue. In: Indian Journal of Anaesthesia. 2014 ; Vol. 58, No. 3. pp. 330-333.
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Re-expansion pulmonary oedema - Differential lung ventilation comes to the rescue. / Achar, Shreepathi K.; Chaudhuri, Souvik; Krishna, H. M.; Sagar, M. S.

In: Indian Journal of Anaesthesia, Vol. 58, No. 3, 2014, p. 330-333.

Research output: Contribution to journalArticle

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AB - Re-expansion pulmonary oedema (REPE) is a rare complication following re-inflation of a chronically collapsed lung, which is often fatal. We present a case of a 22-year-old male who presented to the hospital with severe respiratory distress and a history of blunt abdominal trauma 3 months back. He was diagnosed to have left sided diaphragmatic hernia with a mediastinal shift to the right, and was posted for emergency repair of the same. After surgical decompression of the left hemi-thorax and reduction of the abdominal contents, re-expansion of the left lung was achieved, following which patient developed REPE. A left sided double lumen tube was then inserted to prevent flooding and cross contamination of the right lung and ventilation of both lungs was maintained intraoperatively. Post-operatively, REPE was successfully managed by differential lung ventilation with a lung salvage strategy to the left lung and a lung protective strategy to the right lung.

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