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흉막박피술 후 중환자실 이송 중 발생한 동측성 재팽창성 폐부종

Title
흉막박피술 후 중환자실 이송 중 발생한 동측성 재팽창성 폐부종
Other Titles
Ipsilateral Reexpansion Pulmonary Edema Developed after Decortication-A Case Report-
Author
전우재
Keywords
decortication; pyothorax; reexpansion pulmonary edema
Issue Date
2011-01
Publisher
대한중환자의학회
Citation
대한중환자의학회지, v. 25, no. 4, Page. 266-270
Abstract
Reexpansion pulmonary edema (RPE) is a rare but sometimes fatal complication of the treatment of lung collapse secondary to pneumothorax, pleural effusion, or atelectasis. We experienced a case of RPE that developed following decortication. A 46 year-old female had a decortication for pyothorax under one-lung anesthesia. There was no event during the operation and results of arterial blood gas analysis were within normal limits. After the operation, tracheal extubation was performed and 100% oxygen saturation on a pulse oximeter (SpO2) was maintained with 100%O2, (8 L/min) via mask ventilation with self-respiration. The patient, with 50% Venturi mask, was transported to the intensive care unit (ICU). On arrival at the ICU, a SpO2 of 80% was detected and arterial blood gas analysis revealed hypoxemia with acute hypercapnic respiratory acidosis. Fortunately, reexpansion pulmonary edema was detected early and intensive treatment was performed using mechanical ventilation with positive end-expiratory pressure. Tracheal extubation was performed after 1 day of mechanical ventilation. The reexpansion pulmonary edema was successfully treated and the patient recovered without any complications.
URI
http://hdl.handle.net/20.500.11754/63683https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001576494
ISSN
2586-6052; 2586-6060
DOI
10.4266/kjccm.2010.25.4.266
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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