| CASE REPORT |
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| Year : 2012 | Volume
: 28
| Issue : 4 | Page : 520-523 |
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Pulmonary hemorrhage in an outpatient ophthalmic anesthesia setting− it's never "just a cataract"
Ashish K Khanna1, Kenneth C Cummings2
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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