Welcome back to #JanuAirway Day 23. The Bleeding Airway β a nightmare situation every airway manager needs to be prepared for. Letβs start with a #OnePager β thanks to the legendary Barry McGuire for his expert help!
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#JanuAirway Bleeding into the airway can be an emergency, Rx depends on a) the site of bleeding and b) the extent of physiological compromise. Three basic places blood can come from to enter the airway β above (e.g. nose), below (e.g. oesophagus) or from the airway itself.
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#JanuAirway Donβt forget bleeding around the airway can also cause problems β a prime example is a post-thyroidectomy haematoma β luckily there are guidelines for that! Check out the DAS, BAETS and ENT-UK guidelines are #OnePagers 3/6
#JanuAirway Main Rx aims β Limit bleeding, proactive oxygenation and resuscitation. Mobilise the team early! When aiming to control the airway β be aware that blood may impair visualisation β have a PLAN! 4/6
Here are some papers / videos / links that you might find interesting: -
Β· pubmed.ncbi.nlm.nih.gov
Β· ncbi.nlm.nih.gov
Β· pubmed.ncbi.nlm.nih.gov
If you have any others of interest, tweet them to us for inclusion next time!
#JanuAirway 5/6
Β· pubmed.ncbi.nlm.nih.gov
Β· ncbi.nlm.nih.gov
Β· pubmed.ncbi.nlm.nih.gov
If you have any others of interest, tweet them to us for inclusion next time!
#JanuAirway 5/6
pubmed.ncbi.nlm.nih.gov/31549341/
Managing and securing the bleeding upper airway: a narrative review - PubMed
Failure to manage bleeding in the airway is an important cause of airway-related death. The purpose...
pubmed.ncbi.nlm.nih.gov/21375112/
Airway management in adults with bleeding airways - PubMed
Airway management in adults with bleeding airways
ncbi.nlm.nih.gov/pmc/articles/Pβ¦
Airway management in patient with continuous bleeding lesion of the trachea: a case report
Hemoptysis requires proper treatment to prevent blood aspiration and asphyxiation. If the patient lo...
Hope that helps. Come back tomorrow for more Airway #FOAMed. See you then! 6/6
*Disclaimer: Inclusion of content (equipment, techniques and scoring systems etc.) in #JanuAIRWAY does not constitute DAS endorsement
*Disclaimer: Inclusion of content (equipment, techniques and scoring systems etc.) in #JanuAIRWAY does not constitute DAS endorsement
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