Postpneumonectomy pulmonary edema. A retrospective analysis of associated variables

Autor:	W S, Turnage, J J, Lunn
Rok vydání:	1993
Předmět:	Male Pulmonary Circulation Respiratory Distress Syndrome Intraoperative Care Central Venous Pressure Pulmonary Edema Middle Aged Pulmonary Artery Fluid Therapy Humans Female Vascular Resistance Pneumonectomy Aged Retrospective Studies
Zdroj:	Chest. 103(6)
ISSN:	0012-3692
Popis:	Evaluate the correlation between intravenous fluid administration and postpneumonectomy pulmonary edema.Retrospective chart review.Large multispecialty group practice hospital.Adults who had a pneumonectomy performed between 1977 and 1988.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.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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::bf594170fabb1f4340ff351c62890d85 https://pubmed.ncbi.nlm.nih.gov/8404078 Zobrazit plný text záznamu