Fatal hemoptysis after suction through endotracheal tube in a patient with pneumoconiosis--a case report.
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.
Kuo
Hung-Yi
HY
Department of Anesthesiology, Tri-Service General Hospital, R.O.C.
Lu
Chueng-He
CH
Shen
Ying-Sheng
YS
Lee
So-Huang
SH
Ho
Shung-Tai
ST
Wong
Chih-Shung
CS
Liaw
Wen-Jinn
WJ
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*