دورية أكاديمية
أعرض في EDS

The emergency department evaluation and management of massive hemoptysis.

التفاصيل البيبلوغرافية
العنوان: The emergency department evaluation and management of massive hemoptysis.
المؤلفون: Atchinson PRA; Department of Emergency Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, United States of America., Hatton CJ; Dartmouth-Hitchcock Medical Center, Section of Critical Care Medicine, Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, United States of America., Roginski MA; Department of Emergency Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, United States of America., Backer ED; Dartmouth-Hitchcock Medical Center, Section of Critical Care Medicine, Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, United States of America., Long B; Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, TX, United States of America., Lentz SA; Division of Emergency Medicine and Pulmonary Disease and Critical Care Medicine, The University of Vermont Larner College of Medicine, Burlington, VT, United States of America. Electronic address: skylentz@gmail.com.
المصدر: The American journal of emergency medicine [Am J Emerg Med] 2021 Dec; Vol. 50, pp. 148-155. Date of Electronic Publication: 2021 Jul 27.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: W B Saunders Country of Publication: United States NLM ID: 8309942 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8171 (Electronic) Linking ISSN: 07356757 NLM ISO Abbreviation: Am J Emerg Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 1983- : Philadelphia, PA : W B Saunders
Original Publication: [Philadelphia, PA. : Centrum Philadelphia, c1983]-
مواضيع طبية MeSH: Emergency Service, Hospital*, Hemoptysis/*diagnosis , Hemoptysis/*therapy, Diagnostic Imaging ; Humans
مستخلص: Introduction: Massive hemoptysis is a life-threatening emergency that requires rapid evaluation and management. Recognition of this deadly condition, knowledge of the initial resuscitation and diagnostic evaluation, and communication with consultants capable of definitive management are key to successful treatment.
Objective: The objective of this narrative review is to provide an evidence-based review on the management of massive hemoptysis for the emergency clinician.
Discussion: Rapid diagnosis and management of life-threatening hemoptysis is key to patient survival. The majority of cases arise from the bronchial arterial system, which is under systemic blood pressure. Initial management includes patient and airway stabilization, reversal of coagulopathy, and identification of the source of bleeding using computed tomography angiogram. Bronchial artery embolization with interventional radiology has become the mainstay of treatment; however, unstable patients may require advanced bronchoscopic procedures to treat or temporize while additional information and treatment can be directed at the underlying pathology.
Conclusion: Massive hemoptysis is a life-threatening condition that emergency clinicians must be prepared to manage. Emergency clinicians should focus their management on immediate resuscitation, airway preservation often including intubation and isolation of the non-bleeding lung, and coordination of definitive management with available consultants including interventional radiology, interventional pulmonology, and thoracic surgery.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Airway management; Massive hemoptysis; Respiratory failure; Severe hemoptysis
تواريخ الأحداث: Date Created: 20210808 Date Completed: 20211220 Latest Revision: 20211220
رمز التحديث: 20240829
DOI: 10.1016/j.ajem.2021.07.041
PMID: 34365064
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8171
DOI:10.1016/j.ajem.2021.07.041