• Anesthesia and analgesia · Jan 2012

    Case Reports

    Case report: separation from cardiopulmonary bypass with a rigid bronchoscope airway after hemoptysis and bronchial impaction with clot.

    • Peter J Neuburger, Aubrey C Galloway, Michael D Zervos, and Marc S Kanchuger.
    • Department of Anesthesiology, Langone New York University Medical Center, NY 10016, USA.
    • Anesth. Analg.. 2012 Jan 1;114(1):89-92.

    AbstractHemoptysis after cardiopulmonary bypass (CPB) occasionally occurs, and has varying clinical significance based upon amount of bleeding. Hemoptysis resulting in a clot and airway obstruction is an extremely rare event found almost exclusively in the intensive care unit. We describe a unique case of hemoptysis resulting in bronchial impaction from a clot requiring an emergent return to CPB during valve replacement surgery. We used a rigid bronchoscope, without an endotracheal tube, to facilitate airway patency in a patient with diffuse airway bleeding after bronchial disimpaction to separate from CPB.

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