Indian Journal of Anaesthesia

CASE REPORT
Year
: 2014  |  Volume : 58  |  Issue : 3  |  Page : 330--333

Re-expansion pulmonary oedema - differential lung ventilation comes to the rescue


Shreepathi K Achar, Souvik Chaudhuri, HM Krishna, MS Sagar 
 Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal, Karnataka, India

Correspondence Address:
Dr. H M Krishna
Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal - 576 104, Karnataka
India

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.


How to cite this article:
Achar SK, Chaudhuri S, Krishna H M, Sagar M S. Re-expansion pulmonary oedema - differential lung ventilation comes to the rescue.Indian J Anaesth 2014;58:330-333


How to cite this URL:
Achar SK, Chaudhuri S, Krishna H M, Sagar M S. Re-expansion pulmonary oedema - differential lung ventilation comes to the rescue. Indian J Anaesth [serial online] 2014 [cited 2020 Feb 23 ];58:330-333
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=3;spage=330;epage=333;aulast=Achar;type=0