Abstract
Massive hemoptysis occurs in up to 10 % of hemoptysis requiring hospital admission, and is associated with significant morbidity and mortality. Risk factors have been recognized to aid in identification of patients at highest risk of mortality. The initial volume of bleeding, respiratory compromise and hemodynamic status should dictate the diagnostic and treatment approach. An ABC (Airway, Blood loss, and Clinical features) mnemonic can assist with rapid assessment of the unstable patient. Based on the initial survey, one considers decisions of airway protection; isolating the affected lung; ICU transfer; radiographic and bronchoscopic evaluation; and interventional radiographic, bronchoscopic and/or surgical treatment. We present an illustrative case of massive hemoptysis and a suggested approach to care.
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Namen, A.M., Adair, N.E., Bowton, D.L. (2017). Massive Hemoptysis. In: Hyzy, R. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-43341-7_26
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DOI: https://doi.org/10.1007/978-3-319-43341-7_26
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