Unexpected blood clot-induced acute airway obstruction in a patient with inactive pulmonary tuberculosis during lumbar spine surgery in the prone position - A case report

Jui A. Lin, Chih Shung Wong, Chen Hwan Cherng

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Airway obstruction is always a life-threatening event, and it must be recognized and managed immediately. We report an instance of acute airway obstruction associated with hemoptysis in an elderly patient with inactive advanced pulmonary tuberculosis (TB) while undergoing spine surgery. Airway obstruction was highly suspected in consequence of postural change because immediate resolution was rewarded after reversion of the position from prone to supine. The chest surgeon consulted intraoperatively did a fiberoptic bronchoscopy and found that the blood was mainly surging from the branching bronchus of right lower lobe, and thus the source of bleeding was confirmed. Hence, in this presentation we discuss the contributory factors which led to the occurrence of hemoptysis and the appropriate perioperative management of this kind of airway obstruction.

Original languageEnglish
Pages (from-to)93-97
Number of pages5
JournalActa Anaesthesiologica Taiwanica
Volume43
Issue number2
Publication statusPublished - Jun 2005
Externally publishedYes

Fingerprint

Prone Position
Airway Obstruction
Pulmonary Tuberculosis
Spine
Thrombosis
Hemoptysis
Bronchoscopy
Bronchi
Thorax
Hemorrhage

Keywords

  • Airway obstruction
  • Intraoperative complications
  • Prone position
  • Pulmonary
  • Tuberculosis

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

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AB - Airway obstruction is always a life-threatening event, and it must be recognized and managed immediately. We report an instance of acute airway obstruction associated with hemoptysis in an elderly patient with inactive advanced pulmonary tuberculosis (TB) while undergoing spine surgery. Airway obstruction was highly suspected in consequence of postural change because immediate resolution was rewarded after reversion of the position from prone to supine. The chest surgeon consulted intraoperatively did a fiberoptic bronchoscopy and found that the blood was mainly surging from the branching bronchus of right lower lobe, and thus the source of bleeding was confirmed. Hence, in this presentation we discuss the contributory factors which led to the occurrence of hemoptysis and the appropriate perioperative management of this kind of airway obstruction.

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