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Management of massive hemoptysis with the rigid bronchoscope and cold saline lavage. A hemoptise recorreu em 20 dos 79 pacientes acompanhados por mais de 15 dias. Descritores: Hemoptise. A variety of methods are used to control the acute bleeding.
The instillation of iced saline solution through a rigid bronchoscope was described in METHOD: A group of 94 patients with massive hemoptysis was treated with rigid bronchoscopy and lavage with iced saline solution of the actively bleeding lung.
The absence of bleeding recurrence within the following 15 days was considered a therapeutic success. The mean saline volume used in the bronchoscopy was mL, ranging from mL to 2, mL. Fifteen patients were submitted to some kind of procedure surgery, embolization, or radiation therapy within 15 days, and the efficacy of lavage could not be assessed.
Twenty of the 79 patients followed-up for more than 15 days had recurrence of hemoptysis. Cold saline lavage was repeated once in 13 patients, twice in 6 patients, and 3 times in one patient.
It is a safe procedure, and allows the definitive treatment to occur in better clinical conditions. Key words: Hemoptysis. No Instituto de Tisiologia e Pneumologia da Universidade Federal do Rio de Janeiro, entre julho de e julho de , foram estudados prospectivamente 94 pacientes que apresentaram hemoptise de ml ou mais em 24 horas.
Acompanhamos sete pacientes com tuberculose multidrogarresistente. Inicialmente, a hemoptise foi controlada com soro gelado.
Posteriormente, Conlan et al. Conlan et al. Crocco et al. Marsico GA, Montessi J. In: Tarantino AB, editor. Rio de Janeiro: Guanabara Koogan, ; Conlan AA. Massive hemoptysis Diagnostic and therapeutic implications. Ann Surg ; Comparison of medical v. Arch Intern Med ; Massive hemoptysis. Arch Intern Med ; No aggressive surgical approach to significant hemoptysis in patient with pulmonary tuberculosis.
Am Rev Respir Dis ; Marsico GA. Rio de Janeiro, UFF; JBM ; Subcostal extraperiostal plombage for massive tuberculous hemoptysis.
Immediate operative treatment for massive hemoptysis. Chest ; Am Rev Respir Dis ; Teklu B, Felleke G. Massive hemoptysis in tuberculosis. Tubercle ; Haponik EF, Chin R. Hemoptysis clinician's perspectives.
Chest ; In: Pearson FG, editor. Thoracic surgery. New York: Churchill Livingstone, ; Thorax ; J Thorac Cardiovasc Surg ; Garzon AA, Gourin A. Surgical management of massive hemoptysis. Massive pulmonary hemorrhage: surgical approach as choice of treatment. Ann Thorac Surg ; Death-producing hemoptysis in tuberculosis. Exsanguinant hemoptysis. J Thorac Cardiov Surg ; Gourin A, Garzon AA.
Operative treatment of massive hemoptysis. Control of hemorrhage in emergency pulmonary resection for massive hemoptysis. Treatment of hemoptysis by embolization of bronchial arteries. Radiology ; Massive hemoptysis of pulmonary arterial origin.
AJR ; Rev Fr Mal Resp ; Sahebjamj AB. Feed saline lavage during bronchoscopy. Treatment of massive hemorrhage in pulmonary tuberculosis. J Thorac Cardiovasc Surg ; Managing life-threatening hemoptysis: has anything really changed?
Three year experience with a new balloon catheter for the management of hemoptysis. Eur Respir J ; Flexible bronchoscopy in the 21 st century Role of bronchoscopy in massive hemoptysis. Clin Chest Med ; Pulmonary resection for massive hemoptysis.
Surgery ; Rev Fr Mal Resp ;4: Tobin CE. The bronchial arteries and their connections with other vessels in the human lung. Surg Gyn Obst ; Bronchial artery embolization in the management of hemoptysis: technical aspects and long-term results. Radiology ; Clinical investigations immediate and long-term results of bronchial artery embolization for life-threatening hemoptysis. Eddy JB. Reviews clinical assessment and management of massive hemoptysis.
Crit Care Med ; Current aspects of surgery for pulmonary tuberculosis. Como citar este artigo.
La broncoscopia rigida
Es posible que se utilice una broncoscopia para:. Esto adormece la garganta y reduce el reflejo nauseoso durante el procedimiento. Pueden pedirle que respire hondo para que el tubo pueda pasar por sus cuerdas vocales. Esto se llama biopsia transbronquial. Por lo general, este procedimiento se realiza con anestesia general. Por lo general, la broncoscopia con cualquiera de los dos procedimientos dura aproximadamente de 30 a 60 minutos.
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