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The Journal of Thoracic and Cardiovascular Surgery, Vol 87, 359-365, Copyright © 1984 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RA Zeldin, D Normandin, D Landtwing and RM Peters
Postpneumonectomy pulmonary edema has become a worldwide problem. Study of
data available from some of these patients implicates excessive
perioperative volumes of intravenous fluid. A study done on dogs supports
the clinical conclusion. The risk factors for this complication are right
pneumonectomy, large perioperative fluid load, and high intraoperative and
postoperative urine outputs. Patients undergoing pneumonectomy are at
greater risk from intravenous fluid therapy than other types of patients.
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