KMID : 0356920080550010128
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Korean Journal of Anesthesiology 2008 Volume.55 No. 1 p.128 ~ p.134
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Unilateral pulmonary edema after two-jaw surgery - A case report -
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Lim Byung-Gun
Lee Il-Ok Kim Hee-Zoo Kong Myoung-Hoon Lee Mi-Kyoung Kim Nan-Suk Lim Sang-Ho
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Abstract
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Pulmonary edema is usually bilateral, but can be uncommonly unilateral. Although unilateral pulmonary edema (UPE) can occur owing to various etiologies, it usually occurs at a patient who has an underlying defect or abnormality in the cardiopulmonary system except a case of negative-pressure pulmonary edema. Especially UPE following general anesthesia is a rare complication in a healthy patient. Re-expansion pulmonary edema (REPE) as a cause of UPE mostly occurs when a chronically collapsed lung is rapidly re-expanded after pneumothorax. There are some reports associated with REPE following one-lung ventilation used to facilitate surgery, in which there is no chronically collapsed lung. There are, however, little reported cases of a more acute form of this complication following re-expansion after atelectasis due to only several minutes of an inadvertent main stem bronchial intubation during operation. A report of the occurrence of UPE in a healthy, young male undergoing two-jaw surgery is described.
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KEYWORD
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atelectasis, negative-pressure, pulmonary edema, re-expansion, two-jaw surgery, unilateral
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