Post pneumonectomy pulmonary oedema

[KMATTOX at aol.com]

Karim:     I have seen this in far too many fit young  people.   It is far 
more common than anyone writes about.    Humans with acute cytokine release 
simply do not tolerate acute pneumonectomy  and CRASH between 12 and 18 hours.   
Perhaps should be maimntained on  membrane oxygenation and other supporting 
mechanisms for 3-5  days.         I would suggest you  consider a "lung twist" to 
damage control the bleeding.   Take back to  OR at 8-12 hours and reassess, 
and then back 8-12 hours to reassess.    We need to talk about a good protocol 
and a good experimental model.   
 
k
 
 
In a message dated 2/11/2008 9:33:47 P.M. Central Standard Time,  
karim at trauma.org writes:

Initially did well, extubated at 24 hours, comfortable, haemoserous  drainage
from chest tubes. 12 hours later after a couple of transient dips  in
saturation developed acute pulmonary oedema, froth coming up the ET  tube,
and died within minutes.  

Any  ideas?





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