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Reexpansion pulmonary edema: review of pediatric cases

Shinichiro Kira1

  • 1Division of Anesthesia, Medical Department, Beppu Developmental Medicine & Rehabilitation Center, Beppu, Japan.

Paediatric Anaesthesia
|November 15, 2013
PubMed

Insights

Reexpansion pulmonary edema (RPE) can affect children of all ages after lung reexpansion. Awareness and prompt intervention are crucial for managing this rare but potentially severe condition in pediatric patients.

Area of Science:

  • Pulmonology
  • Pediatric Medicine
  • Critical Care

Background:

  • Reexpansion pulmonary edema (RPE) is a rare complication following lung reexpansion.
  • While RPE is known to affect younger adults, pediatric cases lack detailed analysis.
  • Understanding RPE in children is crucial for timely diagnosis and management.

Purpose of the Study:

  • To review and analyze reported pediatric cases of reexpansion pulmonary edema.
  • To identify characteristics, outcomes, and potential risk factors in pediatric RPE.
  • To inform pediatricians and anesthesiologists about this condition.

Main Methods:

  • PubMed literature search using specific keywords for pediatric RPE.
  • Inclusion of all identified pediatric cases of RPE.
  • Analysis of case characteristics, clinical features, and treatment approaches.

Main Results:

  • Twenty-two pediatric cases of RPE were identified across a wide age range.
  • RPE severity varied from subclinical to lethal.
  • Ten cases occurred during the perioperative period, unrelated to specific procedures or anesthetic techniques.

Conclusions:

  • Pediatric RPE can occur after reexpansion of any collapsed lung.
  • No specific treatment for RPE was identified; management is based on clinical presentation.
  • Pediatric anesthesiologists must be aware of RPE and consider invasive therapies for severe cases.

Keywords:
case reportliterature searchlung collapsepediatricperioperativereexpansion pulmonary edema

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