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Titolo:
Management of exsanguinating hemoptysis during cardiopulmonary bypass
Autore:
Smythe, WR; Gorman, RC; DeCampli, WM; Spray, TL; Kaiser, LR; Acker, MA;
Indirizzi:
Univ Penn, Med Ctr, Div Cardiothorac Surg, Philadelphia, PA 19104 USA UnivPenn Philadelphia PA USA 19104 orac Surg, Philadelphia, PA 19104 USA Childrens Hosp Philadelphia, Dept Surg, Philadelphia, PA 19104 USA Childrens Hosp Philadelphia Philadelphia PA USA 19104 lphia, PA 19104 USA
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 5, volume: 67, anno: 1999,
pagine: 1288 - 1291
SICI:
0003-4975(199905)67:5<1288:MOEHDC>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
MASSIVE HEMOPTYSIS; PULMONARY-ARTERY; PERFORATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Smythe, WR Univmbexas, MD Anderson Canc Ctr, Dept Thorac & Cardiovasc Surg, 1515 Holco Univ Texas 1515 Holcombe Blvd,Box 109 Houston TX USA 77030 olco
Citazione:
W.R. Smythe et al., "Management of exsanguinating hemoptysis during cardiopulmonary bypass", ANN THORAC, 67(5), 1999, pp. 1288-1291

Abstract

Background. Large-volume hemoptysis during cardiopulmonary bypass is an infrequent, but life-threatening event. Rapid airway clearance and control are the primary prerequisites for successful management. Methods. The cases of 3 patients with different sources of exsanguinating hemoptysis during cardiopulmonary bypass managed initially with rigid bronchoscopy were reviewed. Results. In all patients, airway control was rapidly established and weaning from cardiopulmonary bypass CPB was accomplished. Two patients survived the operative procedure. The other patient died in the operating room of unremitting bilateral pulmonary hemorrhage. Conclusions. Major hemoptysis during cardiopulmonary bypass is best dealt with initially by rapid airway control and cessation of bypass in an expeditious manner. An algorithm for suggested management is provided. The rigid bronchoscope is the optimal tool for initial management and it should always be available. Definitive treatment is determined by the cause and the persistence of hemorrhage once these maneuvers have been performed. (Ann Thorac Surg 1999;67:1288-91 (C) 1999 by The Society of Thoracic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/10/20 alle ore 07:43:54