Korean J Anesthesiol.  2001 Oct;41(4):503-506. 10.4097/kjae.2001.41.4.503.

Manangement of Massive Hemoptysis during Cardiopulmonary Bypass: A case report

• Kang WS
• Oh YJ
• Lee JH
• Shim YH
• Kwak YL
• Kim SJ

• KMID: 2240021
• DOI: http://doi.org/10.4097/kjae.2001.41.4.503

Abstract

A 56-year old female who had an atrial septal defect with tricuspid regurgitation received a patch repair and tricuspid annuloplasty. During weaning from cardiopulmonary bypass (CPB), bright red blood filled the endotracheal tube and breathing circuit. We suctioned the blood through the endotracheal tube. The bleeding was massive (about 400 ml) but the airway could be cleared with endotracheal suction. We irrigated endotracheal tube with normal saline with phenylephrine. The weaning of CPB was done and protamine was administered. The bleeding ceased when protamine was administered. Weaning from CPB was accomplished uneventfully. We found a little bleeding in the right main stem bronchus by flexible bronchoscopy but did not do any more procedures. In the intensive care unit, the patient had stable vital signs and good respiratory function. The patient was extubated without any problems at postoperative 1 day and transferred to ward without any complications.

Keyword

bleeding; hemoptysis; cardiopulmonary bypass; anticoagulant

MeSH Terms

Bronchi
Bronchoscopy
Cardiopulmonary Bypass*
Female
Heart Septal Defects, Atrial
Hemoptysis*
Hemorrhage
Humans
Intensive Care Units
Middle Aged
Phenylephrine
Respiration
Suction
Tricuspid Valve Insufficiency
Vital Signs
Weaning
Phenylephrine