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Management of Acute Pulmonary Hemorrhage in Children
Author(s) -
Sidman James D.,
Wheeler William B.,
Cabalka Allison K.,
Soumekh Benhoor,
Brown Carl A.,
Wright Gregory B.
Publication year - 2001
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200101000-00006
Subject(s) - medicine , pulmonary hemorrhage , bronchoscopy , surgery , airway , bronchus , lung , anesthesia , respiratory disease
Abstract Objective Acute pulmonary hemorrhage can result from a variety of causes. This report offers a diagnosis and treatment plan for children with acute, life‐threatening pulmonary hemorrhage resulting from a variety of causes. Methods Retrospective review of children with acute pulmonary hemorrhage cared for at a tertiary care children's hospital during from January 1, 1993 to September 1, 1999. Patients Fourteen children were identified with life‐threatening pulmonary hemorrhage during the study period. Interventions Bronchoscopy was the keystone to diagnosis of pulmonary hemorrhage in this series. All of the children underwent multiple procedures to stabilize the airway and control blood loss. These interventions included CO 2 laser bronchoscopy, Nd‐YAG laser bronchoscopy, endoscopic balloon occlusion of a lobe or main bronchus, topical airway vasoconstrictors, endoscopic tumor excision, transcatheter embolization of bronchial vessels, and lobectomy. Outcomes Three children died and 11 survived without neurological sequelae. Conclusions Control of acute pulmonary hemorrhage is a difficult problem and often requires multiple procedures. Endoscopic control is usually required for palliation until more definitive therapy can be undertaken.