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Massive Hemoptysis

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Principles and Practice of Anesthesia for Thoracic Surgery

Abstract

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.

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Authors and Affiliations

  1. Department of Anesthesiology, Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Ville de Quebec, QC, Canada

    Jean S. Bussières MD, FRCPC

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  1. Jean S. Bussières MD, FRCPC
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Correspondence to Jean S. Bussières MD, FRCPC .

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Editors and Affiliations

  1. University of Toronto, Staff Anesthesiologist, Professor of Anesthesia, Toronto, M5G 2C4, Ontario, Canada

    Peter Slinger, MD, FRCPC

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Bussières, J.S. (2011). Massive Hemoptysis. In: Slinger, MD, FRCPC, P. (eds) Principles and Practice of Anesthesia for Thoracic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0184-2_34

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  • DOI: https://doi.org/10.1007/978-1-4419-0184-2_34

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