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Fiberoptic bronchoscopic treatment of blood aspiration and use of sugammadex in a patient with epistaxis: A case report.

Abstract In patients with oropharyngeal and nasopharyngeal bleeding, blood aspiration can make airway management difficult and lead to severe pulmonary complications.
PMID
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Authors

Mayor MeshTerms

Blood

Hemostasis, Surgical

Keywords
Journal Title medicine
Publication Year Start




PMID- 29642212
OWN - NLM
STAT- MEDLINE
DCOM- 20180420
LR  - 20180420
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 15
DP  - 2018 Apr
TI  - Fiberoptic bronchoscopic treatment of blood aspiration and use of sugammadex in a
      patient with epistaxis: A case report.
PG  - e0428
LID - 10.1097/MD.0000000000010428 [doi]
AB  - RATIONALE: In patients with oropharyngeal and nasopharyngeal bleeding, blood
      aspiration can make airway management difficult and lead to severe pulmonary
      complications. PATIENT CONCERNS: A 44-year-old male patient with recurrent
      epistaxis underwent surgery for hemostasis. The patient aspirated blood through
      the endotracheal tube when he hiccupped during the surgery. DIAGNOSIS: The
      patient was diagnosed with blood aspiration after intraoperative fiberoptic
      bronchoscopy revealed a blood clot and viscous mucus in the airways, but no sign 
      of active bleeding. INTERVENTIONS: Tracheobronchial suctioning and irrigation
      with normal saline was performed through the bronchoscope to remove the aspirated
      blood clot. Prior to emergence from anesthesia, sugammadex was administered to
      induce complete neuromuscular recovery and enable the patient to cough up any
      blood remaining in the airways. OUTCOMES: The patient was successfully extubated 
      and fully recovered with no complications. LESSONS: Blood aspiration due to
      oropharyngeal or nasopharyngeal bleeding can be diagnosed and treated by
      tracheobronchial suctioning via fiberoptic bronchoscopy. In addition, sugammadex 
      can enable patients to recover spontaneous breathing, facilitate extubation, and 
      enable patients to cough up any blood remaining in the airways.
FAU - Ryu, Taeha
AU  - Ryu T
AD  - Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic
      University of Daegu, Daegu, Republic of Korea.
FAU - Kim, Dong Hyuck
AU  - Kim DH
FAU - Byun, Sung Hye
AU  - Byun SH
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (gamma-Cyclodextrins)
RN  - 361LPM2T56 (Sugammadex)
SB  - AIM
SB  - IM
MH  - Adult
MH  - *Blood
MH  - Bronchoscopy/*methods
MH  - Epistaxis/*complications/*surgery
MH  - *Hemostasis, Surgical
MH  - Humans
MH  - Intraoperative Complications/diagnosis/*etiology/*therapy
MH  - Male
MH  - Respiratory Aspiration/diagnosis/*etiology/*therapy
MH  - Suction
MH  - gamma-Cyclodextrins/*therapeutic use
EDAT- 2018/04/12 06:00
MHDA- 2018/04/21 06:00
CRDT- 2018/04/12 06:00
PHST- 2018/04/12 06:00 [entrez]
PHST- 2018/04/12 06:00 [pubmed]
PHST- 2018/04/21 06:00 [medline]
AID - 10.1097/MD.0000000000010428 [doi]
AID - 00005792-201804130-00075 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Apr;97(15):e0428. doi: 10.1097/MD.0000000000010428.