The pulmonary physician in critical care * Illustrative case 7: Assessment and management of massive haemoptysis

Surgical Treatment of Hemoptysis

“…Ancak rijid bronkoskopi ile masif hemoptizide hava yolu açıklığını ve yeterli ventilasyonu sağlama, etkilenmemiş akciğeri izole etme, havayolunu kan pıhtıları ve sekresyonlardan daha iyi temizleme, kanama odağına hızlı tamponad uygulayabilme etkin olarak yapılabilmektedir [10]. Ek olarak rijid bronkoskopun lümeninden yapılacak fleksibl bronkoskopi ile bu etkinlik arttırılabilmektedir [17]. Bu nedenle ekip ve ekipman eksikliği bulunmayan merkezlerde rijid bronkoskopi tercih edilmelidir [7].…”

Extracorporeal Membrane Oxygenation in the Transition of Emergent Thoracic Surgery

“…Among the 3 steps, lung protection and maintenance of oxygenation are the most critical and could determine the outcome of patients. There are five methods for lung protection if the patient has continuous bleeding: decubitus position, selective intubation, double lumen intubation, Fogarty catheter placement and bronchoscope balloon tamponade (Lordan et al, 2003). At first, an attempt should be made to identify the bleeding side of the lung.…”

To assess the role fiberoptic bronchoscopy in the evaluation of hemoptysis

“…In most cases hemoptysis is a self-limiting event but in fewer than 5% it may be severe or massive, representing a life-threatening condition that warrants urgent investigations and treatment. 1 Most cases are benign, self-limiting events. However, the presentation of hemoptysis may be a harbinger of significant underlying trachea-pulmonary pathology.…”