ArticleCureus2025
The Paradox of Relief: Recognizing and Managing Re-expansion Pulmonary Edema Following Traumatic Hemothorax.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
A 20-year-old male presented two days after a road traffic injury with chest pain and breathlessness. Evaluation revealed a left-sided hemothorax with multiple rib fractures. Tube thoracostomy was done using a standard blunt dissection technique, under aseptic precautions, and drained 1100 mL of blood. Within two hours, the patient developed acute respiratory distress and hypoxia. Clinical and radiological findings, including diffuse crepitations, white-out of the left lung on chest X-ray, and consolidation with air bronchograms on CT, were consistent with re-expansion pulmonary edema (REPE). He was managed with noninvasive ventilation and supportive care in the intensive care unit. The patient improved steadily and was discharged on day 8. REPE is a rare complication of tube thoracostomy, particularly in trauma. This case highlights the importance of recognizing REPE early, even in acute settings, and emphasizes the need for cautious drainage of large-volume collections.
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