Critical care education one page at a time. Simple, free, & open source.
Nick Mark’s OnePager guides to critical care topics.
Massive Hemoptysis
#criticalCare #pulmonary #hemorrhage #airway #bronchoscopy
Massive hemoptysis is both terrifying and a true emergency. This ICU #OnePager reviews the d/dx (BATTLECAMP) and walks through an approach for workup, airway management, and interventions (bronchoscopic, IR, and surgical) to control hemorrhage.
Current version 1.1 (originally posted 2020-12-20; updated 2020-12-27).
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Operative treatment of massive hemoptysis, Annals of Thoracic Surgery 1974
Management of massive haemoptysis with the rigid bronchoscope and cold saline lavage, Thorax 1980
Balloon catheter control of life-threatening hemoptysis, CHEST 1974 (initial report of balloon tamponade to control pulmonary hemorrhage)
Pulmonary hemorrhage: A novel mode of therapy, Respir Med 2009 (initial report of topical and inhaled TXA in massive hemoptysis)
Inhaled Tranexamic Acid for Hemoptysis Treatment: A Randomized Controlled Trial, CHEST 2018 (RCT demonstrating efficacy of inhaled TXA)
A systematic approach to the management of massive hemoptysis, J Thoracic Disease 2017
Managing Massive Hemoptysis, CHEST 2020
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Current version 1.1
originally posted 2020-12-20
updated 2020-12-27
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