Manangement of Massive Hemoptysis during Cardiopulmonary Bypass: A case report.
10.4097/kjae.2001.41.4.503
- Author:
Won Suk KANG
1
;
Young Jun OH
;
Jae Ho LEE
;
Yon Hee SHIM
;
Young Lan KWAK
;
Seung Jung KIM
Author Information
1. Department of Anesthesiology, Yonsei University, College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
bleeding;
hemoptysis;
cardiopulmonary bypass;
anticoagulant
- MeSH:
Bronchi;
Bronchoscopy;
Cardiopulmonary Bypass*;
Female;
Heart Septal Defects, Atrial;
Hemoptysis*;
Hemorrhage;
Humans;
Intensive Care Units;
Middle Aged;
Phenylephrine;
Respiration;
Suction;
Tricuspid Valve Insufficiency;
Vital Signs;
Weaning
- From:Korean Journal of Anesthesiology
2001;41(4):503-506
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 56-year old female who had an atrial septal defect with tricuspid regurgitation received a patch repair and tricuspid annuloplasty. During weaning from cardiopulmonary bypass (CPB), bright red blood filled the endotracheal tube and breathing circuit. We suctioned the blood through the endotracheal tube. The bleeding was massive (about 400 ml) but the airway could be cleared with endotracheal suction. We irrigated endotracheal tube with normal saline with phenylephrine. The weaning of CPB was done and protamine was administered. The bleeding ceased when protamine was administered. Weaning from CPB was accomplished uneventfully. We found a little bleeding in the right main stem bronchus by flexible bronchoscopy but did not do any more procedures. In the intensive care unit, the patient had stable vital signs and good respiratory function. The patient was extubated without any problems at postoperative 1 day and transferred to ward without any complications.
