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Massive Hemoptysis

  • Henry TannousEmail author
  • Joanna Chikwe
  • Maroun B. Yammine
Chapter

Abstract

Airway bleeding is less common than upper GI bleed. However, when it occurs, management should focus on maintaining gas exchange, resuscitation, and bleeding control. Following airway establishment, bronchoscopy will help in diagnosing, locating, and most frequently controlling the bleed. If unsuccessful, endovascular embolization or lung resection should be considered.

Keywords

Massive hemoptysis Bronchoscopy for bleeding Intervention bronchoscopy Endovascular embolization of airway bleed 

References

  1. 1.
    Ibrahim WH. Massive haemoptysis: the definition should be revised. Eur Respir J. 2008;32. England:1131–2.CrossRefGoogle Scholar
  2. 2.
    Fartoukh M, Khoshnood B, Parrot A, Khalil A, Carette MF, Stoclin A, et al. Early prediction of in-hospital mortality of patients with hemoptysis: an approach to defining severe hemoptysis. Respiration. 2012;83(2):106–14.CrossRefGoogle Scholar
  3. 3.
    Jean-Baptiste E. Clinical assessment and management of massive hemoptysis. Crit Care Med. 2000;28(5):1642–7.CrossRefGoogle Scholar
  4. 4.
    Sakr L, Dutau H. Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management. Respiration. 2010;80(1):38–58.CrossRefGoogle Scholar
  5. 5.
    Hsiao EI, Kirsch CM, Kagawa FT, Wehner JH, Jensen WA, Baxter RB. Utility of fiberoptic bronchoscopy before bronchial artery embolization for massive hemoptysis. AJR Am J Roentgenol. 2001;177(4):861–7.CrossRefGoogle Scholar
  6. 6.
    Shigemura N, Wan IY, Yu SC, Wong RH, Hsin MK, Thung HK, et al. Multidisciplinary management of life-threatening massive hemoptysis: a 10-year experience. Ann Thorac Surg. 2009;87(3):849–53.CrossRefGoogle Scholar
  7. 7.
    Chun JY, Morgan R, Belli AM. Radiological management of hemoptysis: a comprehensive review of diagnostic imaging and bronchial arterial embolization. Cardiovasc Intervent Radiol. 2010;33(2):240–50.CrossRefGoogle Scholar
  8. 8.
    Andrejak C, Parrot A, Bazelly B, Ancel PY, Djibre M, Khalil A, et al. Surgical lung resection for severe hemoptysis. Ann Thorac Surg. 2009;88(5):1556–65.CrossRefGoogle Scholar
  9. 9.
    Scalise P, Prunk SR, Healy D, Votto J. The incidence of tracheoarterial fistula in patients with chronic tracheostomy tubes: a retrospective study of 544 patients in a long-term care facility. Chest. 2005;128(6):3906–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Henry Tannous
    • 1
    • 2
    Email author
  • Joanna Chikwe
    • 1
    • 2
  • Maroun B. Yammine
    • 2
  1. 1.Department of SurgeryStony Brook University HospitalStony BrookUSA
  2. 2.Department of Cardiovascular SurgeryIcahn School of Medicine at Mount SinaiNew YorkUSA

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