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Case Report
Massive hemoptysis successfully treated with extracorporeal membrane oxygenation and endobronchial thrombolysis
Rev Bras Ter Intensiva. 2018;30(1):116-120
Abstract
Case ReportMassive hemoptysis successfully treated with extracorporeal membrane oxygenation and endobronchial thrombolysis
Rev Bras Ter Intensiva. 2018;30(1):116-120
DOI 10.5935/0103-507X.20180002
Views1See moreABSTRACT
Extracorporeal membrane oxygenation has been used to treat refractory hypoxemia in numerous clinical scenarios. The fundamental principles for the management of massive hemoptysis patients include protecting the airway and healthy lung, locating the source of bleeding and controlling the hemorrhage. We report the case of a patient with acute respiratory failure associated with massive hemoptysis secondary to lung laceration during cardiac surgery. The use of extracorporeal membrane oxygenation allowed patient survival. However, due to the great difficulty in managing pulmonary clots after hemoptysis, it was necessary to use an unusual therapy involving endobronchial infusion of a thrombolytic agent as described in rare cases in the literature.
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis