title: Fatal hemoptysis after suction through endotracheal tube in a patient with pneumoconiosis--a case report.
abstract: A 76-year-old man, with a history of pneumoconiosis, developed massive hemoptysis after suction through endotracheal tube. Emergent bronchial artery angiography revealed that rupture of an aneurysm was the suspected culprit and coil embolization was performed. However, the bleeding persisted and he eventually succumbed. Here we bring forward the clinical evaluation and management of massive hemoptysis for discussion. It is note worthy that in patients with chronic inflammatory lung diseases, such as pneumoconiosis, massive hemoptysis may develop in the act of trachcobronchial toilet with suction.
authors.affiliation: Department of Anesthesiology, Tri-Service General Hospital, R.O.C.
authors.forename: Hung-Yi
authors.initials: HY
authors.lastname: Kuo
authors.forename: Chueng-He
authors.initials: CH
authors.lastname: Lu
authors.forename: Ying-Sheng
authors.initials: YS
authors.lastname: Shen
authors.forename: So-Huang
authors.initials: SH
authors.lastname: Lee
authors.forename: Shung-Tai
authors.initials: ST
authors.lastname: Ho
authors.forename: Chih-Shung
authors.initials: CS
authors.lastname: Wong
authors.forename: Wen-Jinn
authors.initials: WJ
authors.lastname: Liaw
mesh_terms: D000368:Aged; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D011009:Pneumoconiosis / Q000150:complications*; D013396:Suction / Q000009:adverse effects*