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Airway management in patient with continuous bleeding lesion of the trachea: a case report.

Kim KN, Lee HJ, Choi HI, Kim DW - Korean J Anesthesiol (2015)

Bottom Line: If the patient loses consciousness or is anesthetized, the bleeding inside the trachea may continuously flow into the distal part, which may be fatal.Fatal damage resulting from hemoptysis is mainly caused by asphyxiation, and it is important to find the exact location of the bleeding in order to prevent it from spreading to both lungs.We report a successful case of airway management using the cuff and Murphy eye of the endotracheal tube in a patient with tracheal bleeding.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT
Hemoptysis requires proper treatment to prevent blood aspiration and asphyxiation. If the patient loses consciousness or is anesthetized, the bleeding inside the trachea may continuously flow into the distal part, which may be fatal. Fatal damage resulting from hemoptysis is mainly caused by asphyxiation, and it is important to find the exact location of the bleeding in order to prevent it from spreading to both lungs. However, endotracheal intubation may increase the bleeding by stimulating the bleeding lesion in the respiratory track, and can make airway management more difficult. We report a successful case of airway management using the cuff and Murphy eye of the endotracheal tube in a patient with tracheal bleeding.

No MeSH data available.


Related in: MedlinePlus

Pre-operative fiberoptic bronchoscopy images. (A) A friable hemorrhagic mass and a nodular degeneration of the trachea. (B) Petechial bleeding and edematous mucosa of the trachea.
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Figure 1: Pre-operative fiberoptic bronchoscopy images. (A) A friable hemorrhagic mass and a nodular degeneration of the trachea. (B) Petechial bleeding and edematous mucosa of the trachea.

Mentions: Hemoptysis with an amount of 400 ml a day had appeared a couple of days prior, and a nodular degeneration and flare were observed on the mucous membrane, 4 cm above the carina from the subglottic region, on the bronchofiberscopy performed 2 days before the surgery. Although no active bleeding was observed, petechial bleeding was evidenced, and it was assumed that this was where the hemoptysis had originated (Fig. 1). The biopsy results confirmed the presence of squamous cell carcinoma. A consultation was conducted by the otolaryngologist regarding preoperative bleeding treatment. However, due to the large lesion causing the petechial bleeding around the trachea, preoperative otorhinolaryngological bleeding treatment was not performed.


Airway management in patient with continuous bleeding lesion of the trachea: a case report.

Kim KN, Lee HJ, Choi HI, Kim DW - Korean J Anesthesiol (2015)

Pre-operative fiberoptic bronchoscopy images. (A) A friable hemorrhagic mass and a nodular degeneration of the trachea. (B) Petechial bleeding and edematous mucosa of the trachea.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4524942&req=5

Figure 1: Pre-operative fiberoptic bronchoscopy images. (A) A friable hemorrhagic mass and a nodular degeneration of the trachea. (B) Petechial bleeding and edematous mucosa of the trachea.
Mentions: Hemoptysis with an amount of 400 ml a day had appeared a couple of days prior, and a nodular degeneration and flare were observed on the mucous membrane, 4 cm above the carina from the subglottic region, on the bronchofiberscopy performed 2 days before the surgery. Although no active bleeding was observed, petechial bleeding was evidenced, and it was assumed that this was where the hemoptysis had originated (Fig. 1). The biopsy results confirmed the presence of squamous cell carcinoma. A consultation was conducted by the otolaryngologist regarding preoperative bleeding treatment. However, due to the large lesion causing the petechial bleeding around the trachea, preoperative otorhinolaryngological bleeding treatment was not performed.

Bottom Line: If the patient loses consciousness or is anesthetized, the bleeding inside the trachea may continuously flow into the distal part, which may be fatal.Fatal damage resulting from hemoptysis is mainly caused by asphyxiation, and it is important to find the exact location of the bleeding in order to prevent it from spreading to both lungs.We report a successful case of airway management using the cuff and Murphy eye of the endotracheal tube in a patient with tracheal bleeding.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT
Hemoptysis requires proper treatment to prevent blood aspiration and asphyxiation. If the patient loses consciousness or is anesthetized, the bleeding inside the trachea may continuously flow into the distal part, which may be fatal. Fatal damage resulting from hemoptysis is mainly caused by asphyxiation, and it is important to find the exact location of the bleeding in order to prevent it from spreading to both lungs. However, endotracheal intubation may increase the bleeding by stimulating the bleeding lesion in the respiratory track, and can make airway management more difficult. We report a successful case of airway management using the cuff and Murphy eye of the endotracheal tube in a patient with tracheal bleeding.

No MeSH data available.


Related in: MedlinePlus