Chest tube suction-associated unilateral negative pressure pulmonary edema in a lung transplant patient.
We describe a 29-yr-old male, status post-bilateral lung transplant, who developed unilateral negative pressure pulmonary edema induced by chest tube suction in association with bilateral bronchial anastomotic strictures. We conclude that negative pressure pulmonary edema may occur secondary to high levels of negative pressure applied to the intrapleural space via chest tubes in the presence of partial large airway obstruction. Post-lung transplant patients may be especially at risk because of compromised lymphatic drainage.
Department of Anesthesiology, Perioperative and Pain Medicine, Division of Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. smemtsoudis@partners.org
Stavros G
SG
Memtsoudis
Peter
P
Rosenberger
Nicholas
N
Sadovnikoff
D000328:Adult; D000399:Air Pressure; D001982:Bronchial Diseases / Q000601:surgery; D003422:Critical Care; D003550:Cystic Fibrosis / Q000601:surgery; D006801:Humans; D016040:Lung Transplantation / Q000502:physiology*; D008297:Male; D011031:Pneumothorax, Artificial; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012121:Respiration, Artificial; D013396:Suction / Q000009:adverse effects*