Abstract
Purpose
Re-expansion pulmonary edema is an uncommon condition that occurs when a collapsed lung is expanded. The aim of the present study was to investigate the incidence and risk factors associated with re-expansion pulmonary edema which may occur as a complication when carrying out treatment for spontaneous pneumothorax.
Methods
A total of 462 patients with spontaneous pneumothorax treated with chest tube drainage in inpatient settings at the Nissan Tamagawa Hospital during the 6-year period between January 2007 and December 2012 were retrospectively evaluated. The data were analyzed to identify any clinical differences between the patients with and without re-expansion pulmonary edema.
Results
Re-expansion pulmonary edema occurred on 30 (6.5 %) of the 462 patients. The duration of lung collapse in the patients with re-expansion pulmonary edema was longer than that observed in the patients without re-expansion pulmonary edema. (7.7 ± 9.1 and 2.4 ± 4.6 days). This difference was statistically significant (P < 0.0001). The extent of lung collapse in the patients with re-expansion pulmonary edema was more severe than that observed in the patients without re-expansion pulmonary edema. This difference was also statistically significant (P = 0.004).
Conclusions
The results suggest that treating spontaneous pneumothorax using chest tube drainage requires careful consideration in view of the relatively high incidence of re-expansion pulmonary edema, especially in cases associated with long periods of lung collapse or large spontaneous pneumothoraxes.
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References
Feller-Kopman D, Berkowitz D, Boiselle P, Ernst A. Large-volume thoracentesis and the risk of reexpansion pulmonary edema. Ann Thorac Surg. 2007;84:1656–61.
Jones PW, Moyers JP, Rogers JT, Rodriquez RM, Lee YC, Light RW. Ultrasound-guided thoracentesis: is it a safer method? Chest. 2003;123:418–23.
Ravin CE, Dahnash NS. Re-expansion pulmonary edema. Chest. 1980;77:709–10.
Yim AP, Liu HP. Complications and failures of video-assisted thoracic surgery: experience from two centers in Asia. Ann Thorac Surg. 1996;61:538–41.
Carlson RI, Classen KL, Gollan F, Gobbel WG Jr, Sherman DE, Christensen RO. Pulmonary edema following the rapid reexpansion of a totally collapsed lung due to a pneumothorax: a clinical and experimental study. Surg Forum. 1958;9:367–71.
Matsuura Y, Nomimura T, Murakami H, Matsushima T, Kakehashi M, Kajihara H. Clinical analysis of reexpansion pulmonary edema. Chest. 1991;100:1562–6.
Rozenman J, Yellin A, Simansky DA, Shiner RJ. Re-expansion pulmonary oedema following spontaneous pneumothorax. Resp Med. 1996;90:235–8.
de Campos JR, Vargas FS, de Campos Werebe E, Cardoso P, Teixeira LR, Jatene FB, et al. Thoracoscopy talc poudrage: a 15-year experience. Chest. 2001;119:801–6.
Adegboye VO, Falade A, Osinusi K, Obajimi MO. Reexpansion pulmonary oedema as a complication of pleural drainage. Nigerian Postgrad Med J. 2002;9:214–20.
Sohara Y. Reexpansion pulmonary edema. Ann Thorac Cardiovasc Surg. 2008;14:205–9.
Mahfood S, Hix WR, Aaron BL, Blaes P, Watson DC. Reexpansion pulmonary edema. Ann Thorac Surg. 1988;45:340–5.
Echevarria C, Twomey D, Dunnin J, Chanda B. Does re-expansion pulmonary oedema exist? Interact Cardiovasc Thorac Surg. 2008;7:485–9.
Sewell RW, Fewel JG, Grover FL, Arom KV. Experimental evaluation of reexpansion pulmonary edema. Ann Thorac Surg. 1978;26:126–32.
Doerschuk CM, Allard MF, Oyarzum MJ. Evaluation of reexpansion pulmonary edema following unilateral pneumothorax in rabbits and the effect of superoxide dismutase. Exp Lung Res. 1990;16:355–67.
Sohara Y. Reexpansion pulmonary edema—basic and clinic. Jpn J Clin Physiol. 2000;32:105–10.
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We have no financial or other interests in association with this study.
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Haga, T., Kurihara, M. & Kataoka, H. The risk for re-expansion pulmonary edema following spontaneous pneumothorax. Surg Today 44, 1823–1827 (2014). https://doi.org/10.1007/s00595-013-0726-y
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DOI: https://doi.org/10.1007/s00595-013-0726-y