UMEM Educational Pearls

Category: Critical Care

Title: Massive hemoptysis

Keywords: massive hemoptysis (PubMed Search)

Posted: 12/4/2007 by Mike Winters, MD (Updated: 10/20/2020)
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Massive hemoptysis

  • Massive hemoptysis is defined by most as the expectoration of > 600 ml in 24 hrs
  • Chronic lung inflammatory disease and bronchogenic CA are the most common causes in the US
  • TB remains the most common cause worldwide
  • The bronchial artery causes approximately 90% of cases
  • Get a STAT portable and place the patient in the lateral decubitus position toward the affected side (this is theorectical and has not been proven)
  • Options for bleeding control can include endobronchial tamponade methods(pulmonary), bronchial artery embolization (interventional radiology), and emergent surgical resection (surgery)
  • Bronchial artery embolization is now the most successful non-surgical treatment of massive hemoptysis