A NOVEL INSERTION TECHNIQUE OF AN ARNDT ENDOBRONCHIAL BLOCKER TO ALLOW PULMONARY TOILETING IN MANAGEMENT OF MASSIVE HEMOPTYSIS

CHEST Journal ◽  
2006 ◽  
Vol 130 (4) ◽  
pp. 330S
Author(s):  
Steven Kadiev ◽  
Shaheen Islam
Author(s):  
Nicholas Zerona ◽  
Priyesh Patel ◽  
Ihab Haddadin

ABSTRACT Three cases from a single institution are presented demonstrating a novel technique of endobronchial blocker insertion under fluoroscopic guidance in patients with massive hemoptysis. This article discusses advantages and limitations compared with bronchoscopic and blind insertion techniques. In all three cases, fluoroscopic guidance demonstrated successful insertion with technically appropriate positioning, allowing for hemodynamic stabilization and more definitive interventional treatment. In one case, endobronchial blocker tamponade, itself, was definitive treatment, without recurrence of hemoptysis during the patient's hospital course. All patients had resolution of their hemoptysis and were eventually discharged from the hospital. Fluoroscopy-guided endobronchial blocker insertion was demonstrated to be both technically feasible and effective in these cases of massive hemoptysis. Moving forward, this can be a valuable tool when emergent endobronchial control of hemoptysis is required in certain instances.


2012 ◽  
Vol 72 (1) ◽  
pp. 68
Author(s):  
Seulki Kim ◽  
Eun Jung Lee ◽  
Ji Young Park ◽  
Eun Young Kim ◽  
Kyung Hwan Kang ◽  
...  

Medicine ◽  
2016 ◽  
Vol 95 (19) ◽  
pp. e3687 ◽  
Author(s):  
Peng Liang ◽  
Juan Ni ◽  
Cheng Zhou ◽  
Hai Yu ◽  
Bin Liu

POCUS Journal ◽  
2016 ◽  
Vol 1 (2) ◽  
pp. 7
Author(s):  
Barry Chan, MD

Clinical Vignette: 45 year old was transferred from a peripheral facility for acute massive hemoptysis though maintained sufficient airway patency with no evidence of hemodynamic instability or respiratory failure. Thoracic auscultation revealed vesicular breathing with no adventitious sound. CXR from the peripheral site was normal.


2021 ◽  
pp. 101337
Author(s):  
Sharad Joshi ◽  
Ankit Bhatia ◽  
Nitesh Tayal ◽  
Ritu Verma ◽  
Dheeraj Nair

1944 ◽  
Vol 43 (5) ◽  
pp. 337-340 ◽  
Author(s):  
E. S. Horgan ◽  
Mansour Ali Haseeb

1. Serological methods for the determination of smallpox immunity are briefly discussed, and it is concluded that they are unlikely to provide a diagnostic method of sufficient accuracy.2. Experimental work is recorded which shows certain differences in the response of previously vaccinated individuals, revaccinated simultaneously with a standard vaccine lymph and an elementary body suspension (vaccinia) of high potency. The significance of these differences is discussed.3. The results indicate that although the advantage of the e.b. suspension over vaccine lymph is relatively insignificant, that of two insertions over one is very marked. In revaccination the routine use of one insertion only may result in a certain number of semi-immunes (vaccinoids) being erroneously reported as immunes.4. It is concluded that if the two insertion technique be practised, persons showing immune reactions (negatives) may be considered, in all probability, as possessing full immunity to vaccinia-variola virus.


CHEST Journal ◽  
2017 ◽  
Vol 152 (4) ◽  
pp. A46 ◽  
Author(s):  
Eunjue Yi ◽  
Jae Ho Chung ◽  
Sungho Lee ◽  
Kwang Taik Kim

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Wei Luo ◽  
Tong-chen Hu ◽  
Lincheng Luo ◽  
Ya-lun Li

Abstract Background Pulmonary sequestration (PS) associated with massive hemoptysis, hemothorax, and elevated tumor markers or even lung malignancy has been reported in several studies. These clinical features combined with lung lesions on chest imaging are sometimes hard to differentiate from lung malignancies and often complicate the diagnostic procedure. Case presentation A 45-year-old man with PS presented with massive hemoptysis, hemothorax, and extremely elevated carcinoembryonic antigen (CEA) in pleural effusion was initially misdiagnosed with advanced lung carcinoma, but was ultimately diagnosed with PS with Aspergillus infection. Conclusions PS is rarely concurrent with lung cancer; most of the time, it is misdiagnosed as a malignancy, especially when presenting with a fungal infection, which could remarkably elevate CEA in pleural effusion.


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