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26 - Massive Hemoptysis

from Section 5 - Respiratory Emergencies

Published online by Cambridge University Press:  02 November 2023

By
Amar Deshwar  and
Elisabeth Lessenich
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

Hemoptysis is the expectoration of blood from the respiratory tract that originates from below the vocal cords. The definition of what is considered “massive hemoptysis” has evolved. Previously proposed volumes of blood ranged anywhere from 200 to 1000 mL over 24 hours. Recently there has been a shift toward considering as “massive” any hemoptysis that causes clinical consequences of respiratory failure, airway obstruction or hypotension.

Keywords

massive hemoptysisasphyxiationacute respiratory failurebronchial arteriespulmonary arteriessingle lung ventilation
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 234 - 241
Publisher: Cambridge University Press
Print publication year: 2023

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References

Davidson, K, & Shojaee, S. Managing massive hemoptysis. Chest 2020;157(1):77–88.CrossRefGoogle ScholarPubMed
Radchenko, C, Alraiyes, AH, & Shojaee, S. A systematic approach to the management of massive hemoptysis. J Thorac Dis 2017;9(Suppl 10):S1069.CrossRefGoogle Scholar

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