Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management
Hemoptysis is frequently encountered in clinical practice, and may be the presenting symptom of a number of diseases. Although massive hemoptysis accounts for only 5–15% of episodes, it should always be considered as a life-threatening condition that warrants effective assessment and management. In...
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| Veröffentlicht in: | Respiration 2010-01, Vol.80 (1), p.38-58 |
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| creator | Sakr, L. Dutau, H. |
| description | Hemoptysis is frequently encountered in clinical practice, and may be the presenting symptom of a number of diseases. Although massive hemoptysis accounts for only 5–15% of episodes, it should always be considered as a life-threatening condition that warrants effective assessment and management. In this article, we review the literature with regard to the definition, etiology, epidemiology, pathophysiology, diagnosis and treatment of massive hemoptysis, with special emphasis on the role of bronchoscopy as a diagnostic and therapeutic tool. We briefly present the circumstances under which the use of rigid bronchoscopy should be preferred for controlling massive bleeding. Moreover, we address the crucial importance of multidisciplinary collaboration by illustrating the roles of endovascular therapy and surgery in the optimal management of massive hemoptysis. |
| doi_str_mv | 10.1159/000274492 |
| format | Article |
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Although massive hemoptysis accounts for only 5–15% of episodes, it should always be considered as a life-threatening condition that warrants effective assessment and management. In this article, we review the literature with regard to the definition, etiology, epidemiology, pathophysiology, diagnosis and treatment of massive hemoptysis, with special emphasis on the role of bronchoscopy as a diagnostic and therapeutic tool. We briefly present the circumstances under which the use of rigid bronchoscopy should be preferred for controlling massive bleeding. 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Moreover, we address the crucial importance of multidisciplinary collaboration by illustrating the roles of endovascular therapy and surgery in the optimal management of massive hemoptysis.</description><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Bronchoscopy</subject><subject>Decision Trees</subject><subject>Disease management</subject><subject>Embolization, Therapeutic</subject><subject>Hemoptysis - diagnosis</subject><subject>Hemoptysis - etiology</subject><subject>Hemoptysis - therapy</subject><subject>Hemorrhage</subject><subject>Hemostasis, Endoscopic</subject><subject>Humans</subject><subject>Interventional Pulmonology</subject><subject>Medical diagnosis</subject><subject>Medical procedures</subject><subject>Medical sciences</subject><subject>Pneumology</subject><subject>Respiratory system</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><issn>0025-7931</issn><issn>1423-0356</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0M9LHDEUB_BQlLpqD72LhEIRD9O-_JhJ0pvVVgtKQdzzkM28WUdnkjGZLex_b2S3Cp7yCJ_3gy8hnxl8Y6w03wGAKykN_0BmTHJRgCirHTLL32WhjGB7ZD-lBwBWas0_kj0OYIBrPSPzG5tS9w_pFQ5hnNapSz_omafzsbET0uDpdI_0NvS5bunPGLy7D8mFcU07Ty86u_Qh91DrG3pjvV3igH46JLut7RN-2r4HZP771935VXH99_LP-dl14WQlpgK1BIVSNwycE9qgdpW0-Xir3cI0RiJUyklZLSzyVrnKoTLYAJSct6Vj4oCcbOaOMTytME310CWHfW89hlWqlRCiZEpXWX55Jx_CKvp8XK2kMZoLLjI63SAXQ0oR23qM3WDjumZQvyRdvyad7fF24GoxYPMq_0ebwdctsMnZvo3Wuy69OW4qAaXK7mjjHm1cYnwDmz3P5zqMtA</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Sakr, L.</creator><creator>Dutau, H.</creator><general>Karger</general><general>S. 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| ispartof | Respiration, 2010-01, Vol.80 (1), p.38-58 |
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| source | MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Algorithms Biological and medical sciences Bronchoscopy Decision Trees Disease management Embolization, Therapeutic Hemoptysis - diagnosis Hemoptysis - etiology Hemoptysis - therapy Hemorrhage Hemostasis, Endoscopic Humans Interventional Pulmonology Medical diagnosis Medical procedures Medical sciences Pneumology Respiratory system Respiratory system : syndromes and miscellaneous diseases |
| title | Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management |
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