Iced Saline Bronchoalveolar Lavage –A Potential Therapeutic Option For Pulmonary Hemorrhage After Percutaneous Coronary Intervention (PCI)

Amanullah, Shakeel; Mina, Bushra; Rogers, Murray

doi:10.1378/chest.126.4_meetingabstracts.926s

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Cited by 5 publications

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“…Diffuse pulmonary hemorrhage may not be managed effectively with this option. Recently, Amanullah et al 14 demonstrated the benefit of iced saline lavage as a therapeutic option. Further studies need to be taken before this therapeutic modality can be considered mainline therapy.…”

Section: Resultsmentioning

confidence: 99%

Abciximab and fatal pulmonary hemorrhage

et al. 2006

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Section: Resultsmentioning

confidence: 99%

Abciximab and fatal pulmonary hemorrhage

et al. 2006

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“…Cold saline instillation and lavage have been used to control bleeding since its use was described in a patient with LTH from squamous cell carcinoma of the bronchus. 22 Conan and Hurwitz reported that cold saline was an effective measure in controlling bronchial bleeding. 23 Approximately 1 L of saline should be cooled while preparing for bronchoscopy if cold saline lavage is being planned.…”

Section: Vasoconstrictorsmentioning

confidence: 99%

Life-Threatening Hemoptysis

Deshwal

Sinha

Mehta

2020

Semin Respir Crit Care Med

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Life-threatening hemoptysis (LTH) is any amount of hemoptysis that causes significant hemodynamic decompensation or respiratory distress which may lead to death if left untreated. While the amount of hemoptysis that qualifies as massive hemoptysis has continued to be debated, any amount between 100 to 1,000 mL/day is considered significant. Up to 15% cases of hemoptysis are LTH and need urgent life-saving intervention. Understanding of pulmonary vascular anatomy is of paramount importance to manage LTH. The goal of treatment lies in airway protection, appropriate oxygenation, and prevention of exsanguination. Once the airway is stabilized, a quick diagnosis and control of bleeding site is targeted. This chapter highlights current practices and approach to LTH including medical management, bronchoscopic approach, and advanced therapies such as bronchial artery embolization and surgical resection. We review situations, such as bronchiectasis, vascular malformation, diffuse alveolar hemorrhage, and tracheostomy bleed and specific approach to management of these conditions in a systematic and evidence-based manner.

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