Title |
Hemoptise maciça tratada com oxigenação por membrana extracorpórea e trombolítico endobrônquico com sucesso
|
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Published in |
Revista Brasileira de Terapia Intensiva, March 2018
|
DOI | 10.5935/0103-507x.20180002 |
Pubmed ID | |
Authors |
Antônio Aurélio de Paiva Fagundes Júnior, Renato Bueno Chaves, Amanda Robassini dos Santos, Humberto Alves de Oliveira, Marcello Henrique Paschoal |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 14% |
Italy | 1 | 14% |
Unknown | 5 | 71% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 57% |
Practitioners (doctors, other healthcare professionals) | 2 | 29% |
Science communicators (journalists, bloggers, editors) | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 11 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 3 | 27% |
Other | 2 | 18% |
Student > Postgraduate | 2 | 18% |
Student > Ph. D. Student | 1 | 9% |
Student > Doctoral Student | 1 | 9% |
Other | 0 | 0% |
Unknown | 2 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 5 | 45% |
Biochemistry, Genetics and Molecular Biology | 1 | 9% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 9% |
Nursing and Health Professions | 1 | 9% |
Engineering | 1 | 9% |
Other | 0 | 0% |
Unknown | 2 | 18% |