Journal of Anaesthesiology Clinical Pharmacology (Jan 2012)

Pulmonary hemorrhage in an outpatient ophthalmic anesthesia setting− it′s never "just a cataract"

  • Ashish K Khanna,
  • Kenneth C Cummings

DOI
https://doi.org/10.4103/0970-9185.101947
Journal volume & issue
Vol. 28, no. 4
pp. 520 – 523

Abstract

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A 48-year-old man, with end stage renal disease and a history of recreational drug abuse, presented for elective cataract surgery. Patient underwent the procedure with a general endotracheal anesthesia with a balanced anesthetic. After an uneventful intra-operative period, he had a sudden onset large volume hemoptysis just prior to extubation. Poor oxygenation and hemodynamic instability necessitated emergent reintubation in the immediate post-extubation period. Emergent bronchoscopy did not show active airway bleeding or obstructive mucous plugs, and a diagnosis of diffuse alveolar hemorrhage was made. The patient was gradually weaned off the ventilator and made a slow recovery over a one - week period.

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