Glue in Hemoptysis

Chawla, Rakesh K.; Madan, Arun; Chawla, Aditya K.

doi:10.1097/lbr.0000000000000304

Cited by 7 publications

(10 citation statements)

References 4 publications

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“…This technique is not indicated in elderly patients with cardiopulmonary instability, in case of diffuse bleeding or when the sealed airway could exclude from ventilation a significative amount of the dependent lung. 50,51 it is important to remember that in massive hemoptysis, blood expectorated dilutes the antifibrinolytic agents thus reducing their efficacy.…”

Section: Knowledge Of Instrumentsmentioning

confidence: 99%

Competence in pulmonary endoscopy emergencies

et al. 2019

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in clinical practice, interventional pulmonologists face several situations which can lead to dramatic consequences especially regarding ventilation and require immediate intervention. We describe the main pathological conditions where an urgent bronchoscopy is crucial because they act through mechanisms such as airway obstructions or alteration of the anatomic integrity of the tracheobronchial tree. We point out the problems resulting from inhalation of foreign bodies, one of the most dramatic respiratory emergencies typical in childhood which needs not only the appropriate endoscopic equipment suitable for the age, but also great experience in the management of the possible related complications. massive hemoptysis is then discussed in order to help to choose the right endoscope and to clarify the steps requested to face this dramatic event. Lastly, iatrogenic tracheal injuries are described, in spite of their low occurrence. The correct endoscopic assessment of the lesions enables to select the proper multidisciplinary therapeutic approach together with surgeons and anesthetists. due to their peculiarities, emergencies do not allow classic training so it is difficult to estimate the procedure volume necessary to achieve an adequate endoscopic experience. We think, in this field, it is advisable to refer to numbers proposed for elections endoscopic procedures. For these reasons, we consider desirable the use of simulators and clinic case discussions during interventional pulmonologist's training.

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Section: Knowledge Of Instrumentsmentioning

confidence: 99%

Competence in pulmonary endoscopy emergencies

et al. 2019

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“…The immediate response rate was good, and no recurrence was observed at 48 hours. Chawla et al [ 70 ] reported retrospectively the use of glue in 168 cases of mild or moderate hemoptysis persisting after 7 days of medical treatment or severe hemoptysis. Immediate control of hemoptysis was achieved in 151 patients (89.9%).…”

Section: Treatmentmentioning

confidence: 99%

Approach to Hemoptysis in the Modern Era

Gagnon

Quigley

Dutau

et al. 2017

Canadian Respiratory Journal

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Hemoptysis is a frequent manifestation of a wide variety of diseases, with mild to life-threatening presentations. The diagnostic workup and the management of severe hemoptysis are often challenging. Advances in endoscopic techniques have led to different new therapeutic approaches. Cold saline, vasoconstrictive and antifibrinolytic agents, oxidized regenerated cellulose, biocompatible glue, laser photocoagulation, argon plasma coagulation, and endobronchial stents and valves are amongst the tools available to the bronchoscopist. In this article, we review the evidence regarding the definition, etiology, diagnostic modalities, and treatment of severe hemoptysis in the modern era with emphasis on bronchoscopic techniques.

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“…The largest case series documented in the literature consists of 168 adult patients with hemoptysis treated with n-butyl cyanoacrylate. 6 They obtain an immediate response in 89.9% of cases, with subsequent migration of the glue in 14% of them, in 1 case to the trachea. Talwar et al 7 report a male patient who underwent bronchoscopic instillation of glue to control moderate hemoptysis which later led to the development of postobstructive pneumonia and extensive foreign body reaction in the bronchial wall and the lung distal to the glue application.…”

Section: Complications Of the Application Of Glue In Pediatric Bronch...mentioning

confidence: 96%

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Associationfor Bronchology and Interventional Pulmonology (AABIP) 5 and manufacturer recommendations. 6 We again emphasize that utilization of appropriate personal protective equipment in an airborne infection isolation room during bronchoscopy or aerosolizing procedures is of foremost importance, particularly when utilizing new techniques that may increase procedural difficulty, and with unknown data about materials sciences, until further investigations are performed.

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mentioning

confidence: 99%