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Korean J Anesthesiol > Volume 46(1); 2004 > Article
Korean Journal of Anesthesiology 2004;46(1):109-113.
DOI: https://doi.org/10.4097/kjae.2004.46.1.109   
Unilateral Pulmonary Edema in the Lateral Decubitus Position: A Case Report.
Hye Won Shin, Young Sun Seo, Hun Cho, Hye Won Lee, Hae Ja Lim, Suk Min Yoon, Sung Ho Chang
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea.
Abstract
Characteristically pulmonary edema is bilateral, unless there is an underlying defect or abnormality in the cardiopulmonary system. Unilateral pulmonary edema following general anesthesia is a rare complication in a healthy patient. The etiology of unilateral pulmonary edema include, the re-expansion of a collapsed lung, unilateral pulmonary veno-occulusive disease, pulmonary contusion, compression of pulmonary vasculatures, cerebral autonomic dysfunction, bronchial obstruction and severe ischemic left ventricular dysfunction. We describe a 52-yr-old patient who developed acute unilateral pulmonary edema after a total hip replacement athroplasty in the lateral decubitus position. The patient recovered following 16 hours of intensive treatment involving fluid restriction, diuretics, sedation, and continuous positive airway pressure ventilation.
Key Words: edema; position; pulmonary; unilateral
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