Catastrophic haemoptysis during rigid bronchoscopy: a discussion of treatment options to salvage patients during catastrophic haemoptysis at rigid bronchoscopy

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Catastrophic haemoptysis during rigid bronchoscopy: a discussion of treatment options to salvage patients during catastrophic haemoptysis at rigid bronchoscopy.

OBJECTIVE We report a negative experience of fatal haemorrhage during rigid bronchoscopy when an intrabronchial lesion was biopsied. Despite being prepared for and carrying out emergency sternotomy and clamping the lung hilum, the patient died. METHODS We reviewed mainly non-surgical literature for recommendations for the management of catastrophic bleeding at bronchoscopy. RESULTS The lite...

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Complex airway diseases represent a therapeutic challenge and require multidisciplinary input. Surgery remains the definitive modality. Minimally invasive endobronchial techniques have resulted in symptom control and long-term improvements. The rigid bronchoscope remains the method of choice for the treatment of both benign and malignant central airway obstruction. However, it has limited use i...

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Rigid Bronchoscopy

Paediatric bronchoscopy entails two endoscopic techniques: flexible and rigid bronchoscopy. Flexible bronchoscopy is mainly performed by pulmonologists, whereas rigid bronchoscopy is a more invasive procedure usually carried out by otorhinolaryngologists. Each method has advantages and drawbacks. The selection of flexible or rigid bronchoscopy depends on the indication, the clinical context and...

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Jet Ventilation during Rigid Bronchoscopy in Adults: A Focused Review

The indications for rigid bronchoscopy for interventional pulmonology have increased and include stent placements and transbronchial cryobiopsy procedures. The shared airway between anesthesiologist and pulmonologist and the open airway system, requiring specific ventilation techniques such as jet ventilation, need a good understanding of the procedure to reduce potentially harmful complication...

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ژورنال

عنوان ژورنال: Interactive Cardiovascular and Thoracic Surgery

سال: 2004

ISSN: 1569-9293

DOI: 10.1016/j.icvts.2003.11.002