Reexpansion pulmonary edema in a young lady post- intercostal drainage tube insertion

Avinash RM, Poovil AA, Nagendra D, Yashwant KO, Sarma L

Pdf Page Numbers :- 93-95

Avinash RM^1,*, Ashraf Ali Poovil¹, Nagendra D¹, Yashwant KO¹, and Latha Sarma¹

¹Department Pulmonology, Krishna Institute of Medical Sciences Ltd, Ministers road, Secunderabad -500003, Telangana, India

*Corresponding author: Avinash RM, Department of Pulmonology, Krishna Institute Of Medical Sciences Ltd, Ministers road, Secunderabad -500003, Telangana, India. Tel.: +91 9790925624; Email: avinash.rm1993@gmail.com

Received 22 March 2018; Revised 05 June 2018; Accepted 19 June 2018; Published 26 June 2018

Citation: Avinash RM, Poovil AA, Nagendra D, Yashwant KO, and Sarma L. Reexpansion pulmonary edema in a young lady post- intercostal drainage tube insertion. J Med Sci Res. 2018; 6(3): 93-95. DOI: http://dx.doi.org/10.17727/JMSR.2018/6-16

Copyright: © 2018 Avinash RM et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Reexpansion pulmonary edema (REPE) is a rare and serious complication after sudden expansion of a collapsed lung, usually after intercostal drainage (ICD) tube insertion for massive pleural effusion or tension pneumothorax or therapeutic thoracocentesis. Symptoms include severe persistent cough, with frothy sputum and dyspnea.It can occur immediately or within few hours after ICD insertion. Risk factors include duration of collapse more than 72 hrs, large volume pleural fluid drainage, application of high negative pressure during drainage. Increased permeability of pulmonary capillaries as seen in ARDS (Acute respiratory distress syndrome) is the proposed pathophysiology. We describe a case of REPE in a young female with large left pleural effusion and its successful management.

Keywords: reexpansion pulmonary edema; thoracentesis; pleural effusion