Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico

Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented...

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Autores principales: Barril Merino,Carlos, Solovera R.,María E., Bannura Y.,Felipe, Salas V.,Patricio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2018
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101343
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spelling oai:scielo:S0034-988720180011013432019-02-13Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínicoBarril Merino,CarlosSolovera R.,María E.Bannura Y.,FelipeSalas V.,Patricio General Surgery Pneumothorax Pulmonary Edema Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.11 20182018-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101343es10.4067/S0034-98872018001101343
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic General Surgery
Pneumothorax
Pulmonary Edema
spellingShingle General Surgery
Pneumothorax
Pulmonary Edema
Barril Merino,Carlos
Solovera R.,María E.
Bannura Y.,Felipe
Salas V.,Patricio
Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico
description Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.
author Barril Merino,Carlos
Solovera R.,María E.
Bannura Y.,Felipe
Salas V.,Patricio
author_facet Barril Merino,Carlos
Solovera R.,María E.
Bannura Y.,Felipe
Salas V.,Patricio
author_sort Barril Merino,Carlos
title Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico
title_short Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico
title_full Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico
title_fullStr Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico
title_full_unstemmed Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico
title_sort edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. caso clínico
publisher Sociedad Médica de Santiago
publishDate 2018
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101343
work_keys_str_mv AT barrilmerinocarlos edemapulmonaragudogravesecundarioatratamientodeneumotoraxespontaneoprimariocasoclinico
AT soloverarmariae edemapulmonaragudogravesecundarioatratamientodeneumotoraxespontaneoprimariocasoclinico
AT bannurayfelipe edemapulmonaragudogravesecundarioatratamientodeneumotoraxespontaneoprimariocasoclinico
AT salasvpatricio edemapulmonaragudogravesecundarioatratamientodeneumotoraxespontaneoprimariocasoclinico
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