CHEST 2023 On Demand Pass-A Systematic Approach to the Management of Massive Hemoptysis

Video Transcription

Video Summary

The speaker in this video discusses the management of massive hemoptysis, which is the coughing up of large amounts of blood. They explain the definition of hemoptysis and its two categories, minor and massive, and discuss the various causes of massive hemoptysis such as malignancy and infection. The speaker emphasizes the importance of stabilizing the patient and establishing a secure airway, and suggests the use of a large endotracheal tube. They also discuss the role of bronchoscopy in identifying the source of bleeding and the use of bronchial blockers to protect the unaffected lung. The use of ice-cold saline lavage is mentioned as a temporary method to control bleeding. The speaker stresses the importance of preparedness and having a systematic approach to managing massive hemoptysis. They also highlight the role of prevention and mitigating risk factors. The importance of multidisciplinary teamwork and timely intervention is emphasized. The speaker mentions the need for a change in the terminology used to describe these situations to help manage panic levels among healthcare providers. Another video provides an overview of managing hemoptysis, discussing the different levels of risk associated with various procedures and the importance of discussing risks and benefits with patients. The role of bronchial artery embolization (BAE) and interventional radiology, as well as surgical intervention in certain cases, is also discussed. The need for preparedness through team training and simulation is emphasized.

Meta Tag

Category Critical Care

Session ID 1146

Speaker A. Christine Argento

Speaker Carla Lamb

Speaker Christina MacRosty

Speaker Samira Shojaee

Track Critical Care

Keywords

massive hemoptysis

hemoptysis management

causes of hemoptysis

bronchoscopy

bronchial blockers

bleeding control

preparedness in healthcare

multidisciplinary teamwork

risk levels of procedures

interventional radiology