ROLE OF RIGID BRONCHOSCOPY IN MASSIVE HAEMOPTYSIS

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...

[Rigid bronchoscopy].

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...

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...

Haemoptysis as an indication for bronchoscopy.

Management of massive haemoptysis with the rigid bronchoscope and cold saline lavage.

Twelve successive patients with massive haemoptysis were treated by emergency rigid bronchoscopy and lavage of the bleeding lung with cold saline. All patients stopped bleeding during the procedure and all blood and clot was evacuated from the accessible airways. The bleeding source was localised to a lobe in seven cases, and lateralised in the remaining five patients. Five patients had a secon...