Re-expansion Pulmonary Oedema – Differential Lung Ventilation Comes to the Rescue

Achar, Shreepathi Krishna and Chaudhuri, Souvik and Krishna, HM and Sagar, MS (2014) Re-expansion Pulmonary Oedema – Differential Lung Ventilation Comes to the Rescue. Indian Journal of Anaesthesia, 58 (3). pp. 330-333. ISSN 0019-5049

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Re‑expansion pulmonary oedema (REPE) is a rare complication following re‑inflation of a chronically collapsed lung, which is often fatal. We present a case of a 22‑year‑old male who presented to the hospital with severe respiratory distress and a history of blunt abdominal trauma 3 months back. He was diagnosed to have left sided diaphragmatic hernia with a mediastinal shift to the right, and was posted for emergency repair of the same. After surgical decompression of the left hemi‑thorax and reduction of the abdominal contents, re‑expansion of the left lung was achieved, following which patient developed REPE. A left sided double lumen tube was then inserted to prevent flooding and cross contamination of the right lung and ventilation of both lungs was maintained intraoperatively. Post‑operatively, REPE was successfully managed by differential lung ventilation with a lung salvage strategy to the left lung and a lung protective strategy to the right lung.

Item Type: Article
Uncontrolled Keywords: Differential lung ventilation; Double lumen tube; Re-expansion pulmonary oedema
Subjects: Medicine > KMC Manipal > Anaesthesiology
Depositing User: KMC Manipal
Date Deposited: 24 Jul 2014 04:25
Last Modified: 24 Jul 2014 04:25

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