Emergency treatment of acute massive hemorrhage during transbronchial lung biopsy outside operating room: Case report.
Shuxian Ma, Sichen Cui, Lining Huang et al.
✦ AI-curated · Sources linked
Case in brief
A patient with pneumonia, emphysema, a pulmonary nodule, prior breast-cancer radiotherapy, coronary disease after PCI, severe hypertension, and atrial fibrillation developed massive bleeding during fiberoptic transbronchial lung biopsy. The team secured the airway with a large-diameter endotracheal tube, adjusted positioning, drained and suctioned blood, and used systemic and local hemostasis, fluid therapy, and supportive measures to stabilize vital signs. The procedure was completed, and the patient improved with subsequent hemostatic treatment and care and was discharged.
What made this case unusual
The report focuses on emergency control of massive hemorrhage during transbronchial biopsy outside the operating room, in a patient with multiple comorbidities.
Diagnostic / clinical pearl
In massive bleeding during bronchoscopy, airway control to preserve ventilation is central; a large-diameter endotracheal tube may facilitate ventilation and allow time for hemostatic measures.