A case of pulmonary haemorrhage following jet ventilation for vocal cord surgery
Ong, E.L.
Annals of the Academy of Medicine Singapore 31(4): 531-534
2002
ISSN/ISBN: 0304-4602 PMID: 12161894 Document Number: 544106
Introduction: This case report highlights haemoptysis occurring after post-extubation laryngopasm. Clinical Picture: General anaesthesia using Sanders jet ventilation with a Benjamin tube was administered for a patient undergoing vocal cord biopsy. He developed laryngospasm followed by significant pulmonary haemorrhage and widespread crepitations in the lung. Treatment: Laryngospasm was aborted with assisted ventilation with oxygen 100% via bag and mask. Outcome: Oxygenation was well maintained with nasal prongs only postoperatively and haemoptysis resolved after 2 days. Conclusion: It is imperative to prevent laryngospasm from occurring and swift action must be taken to avoid pulmonary haemorrhage.