Massive Hemoptysis

  • Jean S. Bussières


With massive hemoptysis, death is usually caused by asphyxiation rather than by exsanguination. Urgent management focuses on the prevention of asphyxia while the source of bleeding is addressed. Endobronchial and/or angiographic control is usually possible. Bronchial artery embolization is now the treatment of choice. There is now less indication for surgery and surgical results are better in stabilized, “elective,” nonbleeding patient. Pulmonary artery injury is rare but has high mortality.


Pulmonary Artery Catheter Bleeding Site Bronchial Artery Rigid Bronchoscope Massive Hemoptysis 
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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of AnesthesiologyInstitut Universitaire de Cardiologie et de Pneumologie de QuebecVille de QuebecCanada

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