Postpneumonectomy Pulmonary Edema
| Autor: | W S Turnage, Jeffrey J. Lunn |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty ARDS Lung Respiratory distress business.industry medicine.medical_treatment Respiratory disease Central venous pressure Critical Care and Intensive Care Medicine medicine.disease Pulmonary edema Surgery Pneumonectomy medicine.anatomical_structure Anesthesia Edema Medicine medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Chest. 103:1646-1650 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.103.6.1646 |
| Popis: | Study objective: Evaluate the correlation between intravenous fluid administration and postpneumonectomy pulmonary edema. Design: Retrospective chart review. Setting: Large multispecialty group practice hospital. Patients: Adults who had a pneumonectomy performed between 1977 and 1988. Measurements and results: Patients were identified who had postpneumonectomy pulmonary edema (PPE). Fluid administration and fluid balance information was found in records and compared with age- and sex-matched control patients who did not develop PPE. The side of pneumonectomy was noted for patients in each group. Autopsy findings were recorded for patients who died. Twenty-one patients met PPE criteria. No significant difference was found between groups for fluid administration or fluid balance. Patients who had right pneumonectomy had a significantly higher incidence of PPE. Patients with PPE had a 100 percent mortality rate and histologic evidence of the adult respiratory distress syndrome (ARDS) at autopsy. Conclusions: PPE is caused by noncardiogenic pulmonary edema rather than excess intravenous fluid administration. There is a greater incidence of the syndrome with right pneumonectomy for unknown reasons. The mortality rate is high despite interventions for ARDS. (Chest 1993; 103:1646-50) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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