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- A Gascoigne, A Appleton, R Taylor, A Batchelor, and S Cook.
- Intensive Therapy Unit, Royal Victoria Infirmary, Newcastle Upon Tyne, UK.
- Resuscitation. 1996 Jun 1;31(3):265-9.
AbstractRe-expansion pulmonary oedema is a recognised but rare complication following the rapid drainage of a large pleural effusion or pneumothorax [1,2], usually occurring on the side of re-inflation. The pathogenesis of the pulmonary oedema is poorly understood but is thought to be due to micro-vascular shearing resulting in neutrophil activation and adhesion to the vascular endothelium resulting in increased micro-vascular permeability [3-7]. Few reports appear in the literature of invasive haemodynamic monitoring following this catastrophe. We describe a patient who sustained fatal pulmonary oedema arising in the contralateral lung, with pulmonary flow catheter data documenting the initial circulatory collapse following the aspiration of a massive pulmonary effusion.
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