A case of pulmonary haemorrhage following jet ventilation for vocal cord surgery.
BACKGROUND
This case report highlights haemoptysis occurring after post-extubation laryngospasm.


METHODS
General anaesthesia using Sanders jet ventilation with a Benjamin tube was administered for a patient undergoing vocal cord biopsy. He developed laryngospasm followed by significant pulmonary haemorrhage and widespread crepitations in the lung.


METHODS
Laryngospasm was aborted with assisted ventilation with oxygen 100% via bag and mask.


RESULTS
Oxygenation was well maintained with nasal prongs only postoperatively and haemoptysis resolved after 2 days.


CONCLUSIONS
It is imperative to prevent laryngospasm from occurring and swift action must be taken to avoid pulmonary haemorrhage.
Ong
E L
EL
Department of Anaesthesia, Changi General Hospital, 2 Simei Street 3, Singapore 529889.
D000328:Adult; D006099:Granuloma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006611:High-Frequency Jet Ventilation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D014827:Vocal Cords / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*