Journal of palliative medicine · 2025
Reexpansion Pulmonary Edema Following Palliative Thoracentesis in a Home Care Setting.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Arnold Till, Bausewein Claudia, Feddersen Berend
Аннотация
BACKGROUND: In Germany, specialist palliative home care provides care for patients in the home setting. This also includes interventions such as thoracentesis. However, complications such as reexpansion pulmonary edema (REPE), a rare but potentially life-threatening condition, require prompt recognition and management.
CASE PRESENTATION: An 86-year-old woman with metastatic breast cancer under palliative home care developed progressive dyspnea. Despite pharmacological treatment, she required right-sided thoracentesis, yielding 1350 mL of pleural fluid. Within one hour, she experienced acute respiratory distress, coughing, and unilateral crackles. Ultrasound revealed B-lines indicative of REPE. Opioids, oxygen, and intravenous furosemide led to symptom resolution within 24 hours. The patient remained at home and died peacefully 47 days later.
CONCLUSION: REPE is a serious complication in thoracentesis, especially in the home care setting. Awareness of this complication, including its risk factors and warning signs, enables health care professionals to implement preventive strategies, diagnose the condition, and make informed therapeutic decisions.
CASE PRESENTATION: An 86-year-old woman with metastatic breast cancer under palliative home care developed progressive dyspnea. Despite pharmacological treatment, she required right-sided thoracentesis, yielding 1350 mL of pleural fluid. Within one hour, she experienced acute respiratory distress, coughing, and unilateral crackles. Ultrasound revealed B-lines indicative of REPE. Opioids, oxygen, and intravenous furosemide led to symptom resolution within 24 hours. The patient remained at home and died peacefully 47 days later.
CONCLUSION: REPE is a serious complication in thoracentesis, especially in the home care setting. Awareness of this complication, including its risk factors and warning signs, enables health care professionals to implement preventive strategies, diagnose the condition, and make informed therapeutic decisions.