Smoke inhalation complicated by massive haemoptysis and airway obstruction

Smoke inhalation complicated by massive haemoptysis and airway obstruction

Published: 03 Sep 2018

© Anaesthesia Cases / 2018-0128 / ISSN 2396-8397

Authors

Dr Fintan McMorrow [1]
Dr Richard Cowan [2]
Dr Paul McConnell [3]
  • [1] Registrar, Anaesthesia, Royal Alexandra Hospital, Paisley, United Kingdom
  • [2] Senior Registrar, Anaesthesia, Royal Alexandra Hospital, Paisley, United Kingdom
  • [3] Consultant, Anaesthesia, Royal Alexandra Hospital, Paisley, United Kingdom

Summary

A 51-year-old male required invasive ventilation following smoke inhalation in a house fire. During his intensive care admission, he developed massive haemoptysis and subsequent life-threatening respiratory failure likely due to diffuse alveolar haemorrhage. We discuss the management of pulmonary haemorrhage in a critically hypoxic patient requiring prone positioning and bronchoscopy simultaneously.

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