Table 5. Airway hemorrhage key points.
Airway hemorrhage is more likely to cause death from asphyxiation than blood loss |
Protection of the non-bleeding lung is of the utmost importance, thus the patient should be placed with the bleeding side down and the airway secured with a large endotracheal either sitting at trachea with a bronchial blocker or sitting at non-bleeding main bronchus. Double lumen tube is not routinely used due to the difficulty to accommodate the therapeutic bronchoscope |
Control of airway hemorrhage may be attempted with intervention via flexible or rigid bronchoscopy |
In the event that we are unable to control airway hemorrhage, bronchial artery embolization, surgery or Extra corporeal membrane oxygenation may be considered |