Barotrauma after Manual Ventilation in a Patient with Life-Threatening Massive Hemoptysis
10.4266/kjccm.2015.30.4.308
- Author:
Hea Yon LEE
1
;
Yu Young JOO
;
Young Seung OH
;
Yoo Rim SEO
;
Hyon Soo JOO
;
Seok Chan KIM
;
Chin Kook RHEE
Author Information
1. Division of Pulmonary Medicine, Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. chinkook@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
airway obstruction;
barotrauma;
hemoptysis;
ventilation
- MeSH:
Adult;
Airway Obstruction;
Anemia, Aplastic;
Barotrauma;
Bronchoscopy;
Emergencies;
Female;
Hemoptysis;
Humans;
Mediastinal Emphysema;
Pneumothorax;
Subcutaneous Emphysema;
Ventilation;
Ventilators, Mechanical
- From:The Korean Journal of Critical Care Medicine
2015;30(4):308-312
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 36-year-old female patient with aplastic anemia developed massive hemoptysis and was placed on ventilator support. However, airway obstruction by blood clots triggered desaturation and ventilator malfunction. Manual ventilation was initiated to improve oxy-genation, and emergency flexible bronchoscopy was performed to clear the airway. Nevertheless, the patient developed extensive subcutaneous emphysema, pneumothorax, and pneumomediastinum.
