New Treatment Method for Reexpansion Pulmonary Edema: Differential Lung Ventilation.
- Author:
Sang Rock CHO
1
;
Mun Soo KIM
;
Jeong Sang LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul City Boramae Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Pulmonary edema, reexpansion;
Respiration, artificial
- MeSH:
Adult;
Humans;
Incidence;
Lung*;
Male;
Pleural Effusion;
Pneumothorax;
Pulmonary Edema*;
Respiration, Artificial;
Respiratory Insufficiency;
Ventilation*;
Ventilators, Mechanical
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(9):945-948
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Reexpansion Pulmonary edema is the iatrogenic complication which develops in a lung that has been rapidly reinflated after varied period of collapse secondary to a pneumothorax or a pleural effusion of large volume. Its incidence is relatively low, but can sometimes lead to death. The prevention of this disease is known well, but the definite treatment method has not been known in severe case although there have been conventional ventilator therapy and some medications in mild case. Asynchronous differential lung ventilation is a new therapeutic modelity which is applied independently to bilateral lungs in respiratory failure patients secondary to ventilation-perfusion mismatch, preoperatively, intraoperatively or postoperatively. By asynchronous differential lung ventilation, we successfully treated a severe reexpansion pulmonary edema in 29 year old male patient. Therefore we suggest that asynchronous differential lung ventilation is the treatment of choice for severe reexpansion pulmonary edema.
