{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:25:59Z","timestamp":1777915559993,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    <\/jats:bold>\n                    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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Case Presentation:<\/jats:italic>\n                    <\/jats:bold>\n                    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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusion:<\/jats:italic>\n                    <\/jats:bold>\n                    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.\n                  <\/jats:p>","DOI":"10.1089\/jpm.2025.0064","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T14:03:17Z","timestamp":1752501797000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reexpansion Pulmonary Edema Following Palliative Thoracentesis in a Home Care Setting"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9767-7490","authenticated-orcid":false,"given":"Till","family":"Arnold","sequence":"first","affiliation":[{"name":"Department of Palliative Medicine, LMU University Hospital, Munich, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Bausewein","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, LMU University Hospital, Munich, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berend","family":"Feddersen","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, LMU University Hospital, Munich, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00482-022-00662-w"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62480-0"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2016-215076"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005382-199601130-00004"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.06.038"},{"issue":"9","key":"e_1_3_3_7_1","first-page":"1187","article-title":"An analysis of and new risk factors for reexpansion pulmonary edema following spontaneous pneumothorax","volume":"6","author":"Taira N","year":"2014","unstructured":"6.Taira N, , Kawabata T, , Ichi T, et al. An analysis of and new risk factors for reexpansion pulmonary edema following spontaneous pneumothorax. J Thorac Dis 2014;6(9); pp. 1187\u20131192.","journal-title":"J Thorac Dis"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-8-164"},{"issue":"5","key":"e_1_3_3_9_1","first-page":"460","article-title":"Re-expansion pulmonary edema: Evidence for increased capillary permeability","volume":"125","author":"Buczko GB","year":"1981","unstructured":"8.Buczko GB, , Grossman, Goldberg RFM. Re-expansion pulmonary edema: Evidence for increased capillary permeability. Can Med Assoc J 1981;125(5); pp. 460\u2013461.","journal-title":"Can Med Assoc J"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13092667"},{"issue":"4","key":"e_1_3_3_11_1","first-page":"205","article-title":"Reexpansion pulmonary edema","volume":"14","author":"Sohara Y","year":"2008","unstructured":"10.Sohara Y. Reexpansion pulmonary edema. Ann Thorac Cardiovasc Surg 2008;14(4); pp. 205\u2013209.","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.100.6.1562"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.2.418"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-206114"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.137026"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2008.178087"},{"issue":"3","key":"e_1_3_3_17_1","first-page":"654","article-title":"Experimental pulmonary edema following re-expansion of pneumothorax","volume":"108","author":"Miller WC","year":"1973","unstructured":"16.Miller WC, , Toon R, , Palat H, et al. Experimental pulmonary edema following re-expansion of pneumothorax. Am Rev Respir Dis 1973;108(3):654\u2013656.","journal-title":"Am Rev Respir Dis"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000556"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-3233"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-3231"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-15480-4"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(18)30421-1"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.08.028"},{"issue":"5","key":"e_1_3_3_24_1","first-page":"259","article-title":"Re-expansion pulmonary oedema in a patient after treatment of pneumothorax]","volume":"150","author":"Van Herendael HE","year":"2006","unstructured":"23.Van Herendael HE, et al. [Re-expansion pulmonary oedema in a patient after treatment of pneumothorax]. 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