[Severe haemoptysis: indications for triage and admission to hospital or intensive care unit].

Abstract:

:Recognition of the criteria of severity and the early admission to a referral center play a critical role in the prognosis of severe haemoptysis. The therapeutic management should be undertaken urgently by providing general supportive care, i.e., optimization of oxygenation and haemodynamic stabilization to prevent recurrence of massive bleeding. Interventional radiology has dramatically improved the initial management of severe haemoptysis. Attempts to control haemoptysis by first-line non-surgical methods are necessary to optimize the operative conditions and improve morbidity and mortality. Surgical lung resection remains the treatment of choice in selected patients with localized lesions complicated by severe and/or recurrent episodes of haemoptysis (bronchiectasis) or lesions associated with a high risk of recurrence of bleeding (mycetoma). Haemoptysis related to pulmonary arterial involvement remains a surgical emergency.

journal_name

Rev Mal Respir

authors

Fartoukh M

doi

10.1016/j.rmr.2010.10.006

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

1243-53

issue

10

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(10)00439-0

journal_volume

27

pub_type

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