Perioperative management of massive hemoptysis during flexible bronchoscopy: Case report
Keywords:
Hemoptysis, Bronchoscopy, Perioperative period, Anesthesia, Radiology interventional
Abstract
Flexible bronchoscopy is a diagnostic or therapeutic procedure with a low incidence of complications (0.08-6.8%). Bleeding after transbronchial biopsy is a rare complication (0-2.8% of the cases), usually resulting in minor bleeding that resolves with local measures. There is no clear definition of massive hemoptysis and due to the low incidence of this condition, there are no practical guidelines for the treatment of this complication that may be catastrophic. This case discusses the occurrence of massive hemoptysis during a transbronchial biopsy under flexible bronchoscopy, including a literature review on perioperative management.
References
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10. Corey R, Hla KM. Major and massive hemoptysis: reassessment of conservative management. Am J Med Sci. 1987;294:301-9.
11. Ibrahim WH. Massive haemoptysis: the definition should be revised. Eur Respir J. 2008;32:1131-2.
12. Sakr L, Dutau H. Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management. Respiration. 2010;80:38-58.
13. Flume PA, Yankaskas JR, Ebeling M, Hulsey T, Clark LL. Massive hemoptysis in cystic fibrosis. Chest. 2005;128:729-38.
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15. Valipour A, Kreuzer A, Koller H, Koessler W, Burghuber OC. Bronchoscopy-guided topical hemostatic tamponade therapy for the management of life-threatening hemoptysis. Chest. 2005;127:2113-8.
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29. Saw EC, Gottlieb LS, Yokoyama T, Lee BC. Flexible fiberoptic bronchoscopy and endobronchial tamponade in the managemen of massive hemoptysis. Chest. 1976;70:589-91.
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31. Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics. 2002;22:1395-409.
32. Chun HJ, Byun JY, Yoo SS, Choi BG. Added benefit of thoracic aortography after transarterial embolization in patients with hemoptysis. AJR Am J Roentgenol. 2003;180:1577-81.
33. Chen J, Chen LA, Liang ZX, Li CS, Tian Q Yang Z, et al. Immediate and long-term results of bronchial artery embolization for hemoptysis due to benign versus malignant pulmonary diseases. Am J Med Sci. 2014;348:204-9.
34. Fruchter O, Schneer S, Rusanov V, Belenky A, Kramer MR. Bronchial artery embolization for massive hemoptysis: long-term follow-up. Asian Cardiovasc Thorac Ann. 2015;23:55-60.
35. Alexander GR. A retrospective review comparing the treatment outcomes of emergency lung resection for massive haemoptysis with and without preoperative bronchial artery embolization. Eur J Cardiothorac Surg. 2014;45:251-5.
36. Moen CA, Burrell A, Dunning J. Does tranexamic acid stop haemoptysis? Interact Cardiovasc Thorac Surg. 2013;17 :991-4.
37. Prutsky G, Domecq JP, Salazar CA, Accinelli R. Antifibrinolytic therapy to reduce haemoptysis from any cause. Cochrane Database Syst Rev. 2012:CD008711.
38. Maguire MF, Berry CB, Gellett L, Berrisford RG. Catastrophic haemoptysis during rigid bronchoscopy: a discussion of treatment options to salvage patients during catastrophic haemoptysis at rigid bronchoscopy. Interact Cardiovasc Thorac Surg. 2004;3:222-5.
2. Jin F, Mu D, Chu D, Fu E, Xie Y, Liu T. Severe complications of bronchoscopy. Respiration. 2008;76:429-33.
3. Facciolongo N, Patelli M, Gasparini S, Lazzari Agli L, Salio M, Simonassi C, et al. Incidence of complications in bronchoscopy. Multicentre prospective study of 20,986 bronchoscopies. Monaldi Arch Chest Dis. 2009;71:8-14.
4. Carr IM, Koegelenberg CF, von Groote-Bidlingmaier F, Mowlana A, Silos K, Haverman T, et al. Blood loss during flexible bronchoscopy: a prospective observational study. Respiration 2012;84:312-8
5. Tukey MH, Wiener RS. Population-based estimates of transbronchial lung biopsy utilization and complications. Respir Med. 2012;106:1559-65.
6. Ost DE, Ernst A, Lei X, Kovitz KL, Benzaquen S, Diaz-Mendoza J, et al. Diagnostic yield and complications of bronchoscopy for peripheral lung lesions. Results of the AQuIRE Registry. Am J Respir Crit Care Med. 2016;193:68-77.
7. Eapen GA, Shah AM, Lei X, Jimenez CA, Morice RC, Yarmus L, et al. Complications, consequences, and practice patterns of endobronchial ultrasound-guided transbronchial needle aspiration: results of the AQuIRE registry. Chest. 2013;143:1044-53.
8. Schnabel RM, van der Velden K, Osinski A, Rohde G, Roekaerts PM, Bergmans DC. Clinical course and complications following diagnostic bronchoalveolar lavage in critically ill mechanically ventilated patients. BMC Pulm Med. 2015;15:107.
9. Dweik RA, Stoller JK. Role of bronchoscopy in massive hemoptysis. Clin Chest Med. 1999;20:89-105.
10. Corey R, Hla KM. Major and massive hemoptysis: reassessment of conservative management. Am J Med Sci. 1987;294:301-9.
11. Ibrahim WH. Massive haemoptysis: the definition should be revised. Eur Respir J. 2008;32:1131-2.
12. Sakr L, Dutau H. Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management. Respiration. 2010;80:38-58.
13. Flume PA, Yankaskas JR, Ebeling M, Hulsey T, Clark LL. Massive hemoptysis in cystic fibrosis. Chest. 2005;128:729-38.
14. Ong TH, Eng P. Massive hemoptysis requiring intensive care. Intensive Care Med. 2003;29:317-20.
15. Valipour A, Kreuzer A, Koller H, Koessler W, Burghuber OC. Bronchoscopy-guided topical hemostatic tamponade therapy for the management of life-threatening hemoptysis. Chest. 2005;127:2113-8.
16. Yendamuri S. Massive airway hemorrhage. Thorac Surg Clin. 2015;25:255-60.
17. Finfer S, Bellomo R, Boyce N, French J, Myburgh J, Norton R, et al. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med. 2004;350:2247-56.
18. Gheorghe C, Dadu R, Blot C, Barrantes F, Vazquez R, Berianu F, et al. Hyperchloremic metabolic acidosis following resuscitation of shock. Chest. 2010;138:1521-2.
19. Burdett E, Dushianthan A, Bennett-Guerrero E, Cro S, Gan TJ, Grocott MP, et al. Perioperative buffered versus non-buffered fluid administration for surgery in adults. Cochrane Database Syst Rev. 2012;12:CD004089.
20. Nordin AJ, Mäkisalo H, Höckerstedt KA. Failure of dobutamine to improve liver oxygenation during resuscitation with a crystalloid solution after experimental haemorrhagic shock. Eur J Surg. 1996;162:973-9.
21. Llau JV, Acosta FJ, Escolar G, Fernández-Mondéjar E, Guasch E, Marco P, et al. Multidisciplinary consensus document on the management of massive haemorrhage (HEMOMAS document). Med Intensiva. 2015;39:483-504.
22. Klein HG, Spahn DR, Carson JL. Red blood cell transfusion in clinical practice. Lancet. 2007;370:415-26. rev colomb anestesiol. 2017;45(3):256-261
23. Scully PR. Major trauma and transfusion in the north east of England. In: Sen B, editor. Injury extra. 2010. p. 208-9.
24. Garzon AA, Cerruti MM, Golding ME. Exsanguinating hemoptysis. J Thorac Cardiovasc Surg. 1982;84:829-33.
25. Conlan AA, Hurwitz SS. Management of massive haemoptysis with the rigid bronchoscope and cold saline lavage. Thorax. 1980;35:901-4.
26. Freitag L, Tekolf E, Stamatis G, Montag M, Greschuchna D. Three years experience with a new balloon catheter for the managemen of haemoptysis. Eur Respir J. 1994;7:2033-7.
27. Jolliet P, Soccal P, Chevrolet JC. Control of massive hemoptysis by endobronchial tamponade with a pulmonary artery balloon catheter. Crit Care Med. 1992;20:1730-2.
28. Kato R, Sawafuji M, Kawamura M, Kikuchi K, Kobayashi K. Massive hemoptysis successfully treated by modified bronchoscopic balloon tamponade technique. Chest. 1996;109:842-3.
29. Saw EC, Gottlieb LS, Yokoyama T, Lee BC. Flexible fiberoptic bronchoscopy and endobronchial tamponade in the managemen of massive hemoptysis. Chest. 1976;70:589-91.
30. Bhattacharyya P, Dutta A, Samanta AN, Chowdhury SR. New procedure: bronchoscopic endobronchial sealing; a new mode of managing hemoptysis. Chest. 2002;121:2066-9.
31. Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics. 2002;22:1395-409.
32. Chun HJ, Byun JY, Yoo SS, Choi BG. Added benefit of thoracic aortography after transarterial embolization in patients with hemoptysis. AJR Am J Roentgenol. 2003;180:1577-81.
33. Chen J, Chen LA, Liang ZX, Li CS, Tian Q Yang Z, et al. Immediate and long-term results of bronchial artery embolization for hemoptysis due to benign versus malignant pulmonary diseases. Am J Med Sci. 2014;348:204-9.
34. Fruchter O, Schneer S, Rusanov V, Belenky A, Kramer MR. Bronchial artery embolization for massive hemoptysis: long-term follow-up. Asian Cardiovasc Thorac Ann. 2015;23:55-60.
35. Alexander GR. A retrospective review comparing the treatment outcomes of emergency lung resection for massive haemoptysis with and without preoperative bronchial artery embolization. Eur J Cardiothorac Surg. 2014;45:251-5.
36. Moen CA, Burrell A, Dunning J. Does tranexamic acid stop haemoptysis? Interact Cardiovasc Thorac Surg. 2013;17 :991-4.
37. Prutsky G, Domecq JP, Salazar CA, Accinelli R. Antifibrinolytic therapy to reduce haemoptysis from any cause. Cochrane Database Syst Rev. 2012:CD008711.
38. Maguire MF, Berry CB, Gellett L, Berrisford RG. Catastrophic haemoptysis during rigid bronchoscopy: a discussion of treatment options to salvage patients during catastrophic haemoptysis at rigid bronchoscopy. Interact Cardiovasc Thorac Surg. 2004;3:222-5.
How to Cite
1.
Segura-Salguero JC, Díaz-Bohada L, Lutz-Peña JR, Posada AMP, Ronderos V. Perioperative management of massive hemoptysis during flexible bronchoscopy: Case report. Colomb. J. Anesthesiol. [Internet]. 2017 Jul. 1 [cited 2024 Apr. 19];45(3):256–261. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/667
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Published
2017-07-01
How to Cite
1.
Segura-Salguero JC, Díaz-Bohada L, Lutz-Peña JR, Posada AMP, Ronderos V. Perioperative management of massive hemoptysis during flexible bronchoscopy: Case report. Colomb. J. Anesthesiol. [Internet]. 2017 Jul. 1 [cited 2024 Apr. 19];45(3):256–261. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/667
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Case Report / Case Series
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