Is the mechanism of re-expansion pulmonary oedema in a heart-lung interaction?
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10372090" target="_blank" >RIV/00216208:11110/17:10372090 - isvavai.cz</a>
Result on the web
<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534756/pdf/bcr-2017-219340.pdf" target="_blank" >https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534756/pdf/bcr-2017-219340.pdf</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1136/bcr-2017-219340" target="_blank" >10.1136/bcr-2017-219340</a>
Alternative languages
Result language
angličtina
Original language name
Is the mechanism of re-expansion pulmonary oedema in a heart-lung interaction?
Original language description
The mechanism of re-expansion pulmonary oedema (Re-PE) is unclear. There are multiple variables in play when evaluating the response to evacuation of pleural fluid. We present an educational case of a critically ill patient admitted for respiratory failure who was fully dependent on ventricular pacing set at a constant rate throughout the episode of Re-PE. The transthoracic echocardiography (TTE) showed an ejection fraction of 38%, moderate mitral regurgitation (MR), mildly dilated right ventricle and moderate pulmonary hypertension. A pleural tap evacuated 850 mL of transudate, which was followed by tachypnoea and deteriorating oxygenation. Another repeat TTE revealed a Re-PE with elevated left ventricular end-diastolic pressure, severe MR, increased pulmonary hypertension and a decrease in stroke volume. There were no parallel changes in ventilation modality, heart rate, fluid therapy and vasopressor dosage. The treatment was initiated with dobutamine. The patient was extubated the next day and was later discharged to the cardiology department.
Czech name
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Czech description
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Classification
Type
J<sub>SC</sub> - Article in a specialist periodical, which is included in the SCOPUS database
CEP classification
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OECD FORD branch
30223 - Anaesthesiology
Result continuities
Project
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Continuities
O - Projekt operacniho programu
Others
Publication year
2017
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
BMJ Case Reports
ISSN
1757-790X
e-ISSN
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Volume of the periodical
Neuveden
Issue of the periodical within the volume
July
Country of publishing house
GB - UNITED KINGDOM
Number of pages
5
Pages from-to
1-5
UT code for WoS article
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EID of the result in the Scopus database
2-s2.0-85024838229