Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0019079 (hemoptysis)
 6,129 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Although rare, hemoptysis is a frightening and potentially life-threatening complication of cystic fibrosis (CF) that may occur during anesthesia. Anesthesia providers should be aware of the complication and know how to promptly and effectively manage it if encountered. This case illustrates the effects of hemoptysis during anesthesia on a patient with an already compromised pulmonary status. A 26-year-old patient experienced massive hemoptysis during monitored anesthesia care for an esophagogastroduodenoscopy with percutaneous endoscopic gastrostomy tube placement. The patient's hemoglobin saturation with oxygen fell from a percentage in the low 90s to less than 10% within seconds after placement of the scope. The patient was found to have bleeding from the right bronchial artery that was subsequently embolized. emoptysis is a rare occurrence during moni-CF involves many organ systems, most notably the respiratory system. As the disease progresses, frequent infections and inflammation initiate destruction of the parenchyma leading to chronic obstruction of the airways. Hemoptyis, along with pneumothorax and bronchospasm (reactive airway), are a few potential complications of significance in anesthesia. Increased survival rates create a greater likelihood that patients with CF will be candidates for procedures requiring anesthesia. An understanding of the pathophysiology of the disease, as well as its anesthetic implications and management, is imperative in order to safely administer anesthesia in this population.
 ...
PMID:Massive hemoptysis during monitored anesthesia care for esophagogastroduodenoscopy with percutaneous endoscopic gastrostomy tube placement: a case report. 2097 28

A 53-year-old woman who had undergone total gastrectomy and received adjuvant chemotherapy two months ago underwent adhesiolysis of the small bowel. She presented with sudden desaturation and dyspnea of unknown etiology at postanesthetic care unit. Following ET intubation, the endotracheal tube suction revealed massive hemoptysis. Bilateral lung infiltrated on her chest radiograph and bronchofibroscopic examination disclosed a diffuse hemorrhage on both lung fields without bleeding focus. These findings were consistent with diffuse alveolar hemorrhage (DAH) syndrome. As per our knowledge and search, this is the first reported case of DAH that occurred during the recovery period immediately after general anesthesia. DAH is known to have a high mortality rate and an early detection followed by adequate treatment is essential.
 ...
PMID:A case of life-threatening post-operative diffuse alveolar hemorrhage in patient with recent chemotherapy -A case report-. 2149 Aug 27

An emergency interventional endoscopic procedure is often the only way to overcome an asphyxic or pre-asphyxic situation. From November 1978 to June 2010 we performed 9950 interventional endoscopies among which 20% were performed in an emergency context. To obtain a homogeneous study group, we reviewed the last four years. 344 interventional emergency endoscopies were done for the following indications: cancers (n=240, 70%), iatrogenic stenosis (n=63, 18%), foreign bodies (n=29, 8.5%), hemoptysis (12, 3.5%). The same technique was used in all cases: operating room, general anesthesia, rigid bronchoscope, laser, cryotherapy. Outcome was favorable in 85% of cancers and 100% in all other indications. Apart from clear-cut cases, it remains difficult to define the true emergency. Whatever the definition retained, a well-trained anesthetic and endoscopic team is crucial for proper intervention in these potentially life-threatening situations.
 ...
PMID:[Emergency interventional bronchoscopies]. 2192 Feb 79

Tracheobronchial ruptures (TBR) rarely complicate surgical procedures under general anesthesia. Seemingly uneventful intubations can result in injury to the trachea, which often manifests as hemoptysis and subcutaneous emphysema. We present 2 patients with postintubation TBR who were treated surgically and discuss considerations in the management of this potentially lethal injury.
 ...
PMID:Postintubation Tracheal Ruptures - A case report -. 2226 65

Lymphangiomyomatosis (LAM) is a rare lung disease that is characterized by the progressive proliferation of atypical smooth muscle-like cells, which leads to severe respiratory impairment and death. Dyspnea, cough, recurrent pneumothorax, and hemoptysis are the most common clinical symptoms of LAM. We report a 29-year-old female patient with massive hemoptysis during laparoscopic gynecologic surgery under general anesthesia, who was diagnosed with pulmonary LAM.
 ...
PMID:Lymphangiomyomatosis discovered by massive hemoptysis during general anesthesia -A case report-. 2255 5

Cavernous haemangioma of the nose is rare, but when it occurs it usually presents with severe epistaxis. This nasal pathology is mostly seen in adult patient patients. Standard approach to dealing with such haemangiomas is surgical resection. A 30-year-old woman presented to General Physician with history of haemoptysis, haematemesis and weakness. She was admitted for investigation of her severe anaemia. On examination there was no obvious source of bleeding in the mouth or oropharynx, and Upper GI endoscopy did not reveal any pathology. She was referred to us after a trivial episode of epistaxis. Anterior and posterior rhinoscopy did not reveal any abnormality. Her extreme anxiety made indirect laryngoscopy and post-nasal space examination difficult but no obvious abnormality was seen. Diagnostic nasal endoscopy was done, and a small haemangiomatous mass was found in the postero superior part of inferior turbinate. Excision of the mass was done under local anaesthesia and sent for histopathological evaluation. The mass on histopathology came out to be Cavernous haemangioma.
 ...
PMID:Intractable anemia: a case of bleeding nasal cavernous hemangioma. 2275 27

Diffuse alveolar hemorrhage (DAH) is an acute, life-threatening event. The blood-gas barrier must be very thin to allow gas exchange and is therefore subjected to high mechanical stresses when the capillary pressure rises. In general anesthesia, inhaled gases cause high mechanical stresses, and thus DAH occurs under certain conditions. We describe a case of inferred postoperative DAH. A 25-year-old man had an acute episode after undergoing a tonsillectomy for snoring. During surgery, no problems occurred and no marked bleeding was observed. After removal of the endotracheal tube, however, the patient had severe cough and hemoptysis. The patient was treated with an antihemorrhagic agent and antibiotics. He recovered after 1 week. Chronic snoring likely caused the alveolar damage in this patient and intubation led to DAH. The patient presented with a benign course that regressed spontaneously with medical intervention.
 ...
PMID:A case of diffuse alveolar hemorrhage after tonsillectomy -A case report-. 2294 86

A 48-year-old man, with end stage renal disease and a history of recreational drug abuse, presented for elective cataract surgery. Patient underwent the procedure with a general endotracheal anesthesia with a balanced anesthetic. After an uneventful intra-operative period, he had a sudden onset large volume hemoptysis just prior to extubation. Poor oxygenation and hemodynamic instability necessitated emergent reintubation in the immediate post-extubation period. Emergent bronchoscopy did not show active airway bleeding or obstructive mucous plugs, and a diagnosis of diffuse alveolar hemorrhage was made. The patient was gradually weaned off the ventilator and made a slow recovery over a one - week period.
 ...
PMID:Pulmonary hemorrhage in an outpatient ophthalmic anesthesia setting - it's never "just a cataract". 2322 39

A 63-year-old male patient, with 5 years history of progressive dyspnea and aggravation for 1 year, was hospitalized in our hospital; and there was a slight cough, but no cough phlegm, chest pain, hemoptysis or hoarseness. Physical examination showed that there was a third-degree respiratory distress, obvious three depression sign, but no mass in the neck. Electronic laryngoscopy examination reported a mulberry-like mass in trachea about 1.5cm from the glottis. The tumor occupied 90% range of lumen with its base close to the anterior wall of trachea,and tumor could move up and down with cough airflow. After hospitalization, this patient received intratracheal tumor resection under local anesthesia, and postoperative pathology report showed endotracheal papillomatosis, covered by ciliated columnar epithelium.
 ...
PMID:[A case of tracheal papilloma]. 2364 40

Thoracic endometriosis syndrome is a relatively uncommon disorder characterized by recurrent pneumothoraces, hemothorax, chest pain, dyspnea, and hemoptysis within 48 to 72 hours of menstruation. A 34 year old, ASA physical status 2 woman with recurrent catamenial pneumothoraces due to thoracic endometriosis syndrome is presented. After treatment with video-assisted thoracoscopic surgery, she underwent successful elective diagnostic abdominal laparoscopy without incident. The presence of parenchymal injury and damage predisposes these patients to ventilator-induced lung injury. Postponement of surgery until the intermenstrual period, with lung protective ventilation, allows patients with this disease to successfully undergo general anesthesia and surgery.
 ...
PMID:Anesthetic evaluation and management of a patient with thoracic endometriosis syndrome presenting for elective surgery. 2368 59


<< Previous 1 2 3 4 5 6 7 8 9 Next >>