Elevated pleural fluid glucose: a risk for tension hydrothorax.
We have presented a case of tension hydrothorax that developed after hyperosmolar hyperalimentation fluids were infused into the pleural space through a misplaced jugular venous line. The hyperosmolar state of the pleural fluid appears to have played a prominent role in the development of the tension hydrothorax. We believe there is a risk of tension hydrothorax in any clinical situation in which the pleural fluid glucose concentration is significantly higher than the serum concentration.
D000328:Adult; D002404:Catheterization / Q000009:adverse effects; D005947:Glucose / Q000009:adverse effects*; D005950:Glucose Solution, Hypertonic / Q000009:adverse effects*; D006801:Humans; D006874:Hydrostatic Pressure; D006876:Hydrothorax / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D009995:Osmosis; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D010996:Pleural Effusion / Q000150:complications* / Q000209:etiology / Q000503:physiopathology
D005950:Glucose Solution, Hypertonic; D005947:Glucose