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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 4  |  Page : 520-523

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


1 Resident Anesthesiologist and Resident Research Coordinator, Anesthesiology Institute, Cleveland Clinic Foundation 9500 Euclid Avenue, Mailcode E-30,Cleveland, Ohio 44195, USA
2 Department of General Anesthesiology and Outcomes Research, 9500 Euclid Ave, Mailcode G-30 , Cleveland, Ohio 44195, USA

Correspondence Address:
Ashish K Khanna
Anesthesiology Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mailcode E-30,Cleveland, Ohio44195
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.101947

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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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