An uncommon life-threatening complication after chest tube drainage of pneumothorax in the ED.
Re-expansion pulmonary oedema (REPO) after chest tube drainage of pneumothorax is uncommon. We contrast one patient with life threatening against another mildly symptomatic REPO occurring in our emergency department (ED). The mechanism and management of REPO differs distinctly from that of cardiogenic pulmonary oedema. We discuss the predictors of REPO, review clinical details of reported fatalities and suggest preventive measures.
Beng
Sim Tiong
ST
Department of Emergency Medicine, Main Building 1, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074. SimTB@nuh.com.sg
Mahadevan
Malcom
M
D000328:Adult; D015505:Chest Tubes / Q000009:adverse effects*; D004322:Drainage / Q000009:adverse effects*; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000628:therapy*; D001261:Pulmonary Atelectasis / Q000628:therapy; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography