array:23 [
  "pii" => "S0300289621000144"
  "issn" => "03002896"
  "doi" => "10.1016/j.arbres.2020.12.030"
  "estado" => "S300"
  "fechaPublicacion" => "2021-08-01"
  "aid" => "2717"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2021;57:547-8"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289620303392"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2020.08.023"
    "estado" => "S300"
    "fechaPublicacion" => "2021-08-01"
    "aid" => "2631"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2021;57:549-50"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "Diagnostic and Treatment Challenge of Left Anomalous Bronchial Artery&#58; A Case of Recurrent Stridor in a 15-Month-Old Boy"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "549"
          "paginaFinal" => "550"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Desaf&#237;o diagn&#243;stico y de tratamiento de una arteria bronquial an&#243;mala izquierda&#58; un caso de estridor recurrente en un ni&#241;o de 15 meses"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 599
              "Ancho" => 905
              "Tamanyo" => 74973
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A &#8211; Thoracic computed tomography angiography &#40;CTA&#41;&#44; in axial plane&#44; showing the anomalous artery&#44; originating in the right side of the descending thoracic aorta &#40;AoD&#41;&#44; encircling the left main bronchus at the point of bronchial stenosis&#46; The anomalous bronchial artery originates two bronchial arteries&#44; right and left&#46; The five arrows point to 1&#58; the origin at the aorta&#59; 2&#58; the first branch&#44; which is a normal right intercostobronchial branch&#59; 3&#58; the second branch&#44; which is an aberrant bronchial trunk&#59; 4 and 5&#58; the two vessels originate from the bronchial trunk to form right and left bronchial arteries&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">B &#8211; Computerized tomography reconstruction arteriography view showing the tortuosity of the anomalous bronchial artery described in a &#40;<elsevierMultimedia ident="202108020528005491"></elsevierMultimedia>&#41;&#46;</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">C &#8211; Dynamic image showing the anomalous bronchial artery tortuous path around the left main bronchus&#46;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">D &#8211; Endovascular embolization of the abnormal vessel&#44; occluded with 12 microcoils&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Filipa Marujo, Filipe Veloso Gomes, Fernando Rodrigues, Pedro Flores"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Filipa"
              "apellidos" => "Marujo"
            ]
            1 => array:2 [
              "nombre" => "Filipe Veloso"
              "apellidos" => "Gomes"
            ]
            2 => array:2 [
              "nombre" => "Fernando"
              "apellidos" => "Rodrigues"
            ]
            3 => array:2 [
              "nombre" => "Pedro"
              "apellidos" => "Flores"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620303392?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005700000008/v1_202108020527/S0300289620303392/v1_202108020527/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0300289621000053"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2020.12.026"
    "estado" => "S300"
    "fechaPublicacion" => "2021-08-01"
    "aid" => "2712"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2021;57:546"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Imagen cl&#237;nica</span>"
      "titulo" => "Doble f&#237;stula tras cavitaci&#243;n de adenocarcinoma pulmonar tratado mediante termoablaci&#243;n con microondas&#46; Una complicaci&#243;n muy infrecuente"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "546"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Double Fistula After Cavitation of Lung Adenocarcinoma Treated by Microwave Thermal Ablation&#46; An Exceedingly Rare Complication"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 778
              "Ancho" => 1000
              "Tamanyo" => 127522
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Radiograf&#237;a de t&#243;rax&#44; proyecci&#243;n PA &#40;A&#41;&#46; Extenso enfisema subcut&#225;neo en pared tor&#225;cica derecha y regi&#243;n supraclavicular y cervical&#44; junto con neumomediastino &#40;flechas&#41;&#46; Masa mal delimitada en l&#243;bulo superior derecho &#40;asterisco&#41;&#44; en aparente comunicaci&#243;n con un bronquio para dicho l&#243;bulo &#40;puntas de flecha&#41;&#46; TC de t&#243;rax sin contraste intravenoso&#44; ventana de par&#233;nquima pulmonar&#46; Reconstrucciones multiplanares en plano coronal &#40;B&#41; y axial &#40;<span class="elsevierStyleSmallCaps">C</span>&#41;&#44; con proyecci&#243;n de m&#237;nima intensidad &#40;D&#41;&#46; Se muestra con claridad la cavidad a&#233;rea rodeando la masa tratada &#40;puntas de flecha en B y C&#41;&#44; en comunicaci&#243;n con una rama bronquial para dicho l&#243;bulo &#40;punta de flecha en D&#41;&#44; as&#237; como neumomediastino &#40;flechas blancas&#41; y extenso enfisema subcut&#225;neo de predominio en pared costal derecha&#46; Llama la atenci&#243;n un gran l&#243;culo de gas en la pared tor&#225;cica adyacente a la cavidad postermoablaci&#243;n&#44; que sugiere la existencia de comunicaci&#243;n entre ambas cavidades &#40;asterisco en C y D&#41;&#46; Tambi&#233;n se observan signos de enfisema centrolobulillar de predominio en l&#243;bulos superiores&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Antonio Jes&#250;s L&#225;inez Ramos-Bossini, Eduardo Ruiz Carazo, Genaro L&#243;pez Milena"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Antonio Jes&#250;s"
              "apellidos" => "L&#225;inez Ramos-Bossini"
            ]
            1 => array:2 [
              "nombre" => "Eduardo"
              "apellidos" => "Ruiz Carazo"
            ]
            2 => array:2 [
              "nombre" => "Genaro"
              "apellidos" => "L&#243;pez Milena"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S1579212921001907"
        "doi" => "10.1016/j.arbr.2021.05.018"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001907?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621000053?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005700000008/v1_202108020527/S0300289621000053/v1_202108020527/es/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "Diffuse Alveolar Hemorrhage After Orotracheal Extubation Probably Induced by Sevoflurane Inhalation"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "547"
        "paginaFinal" => "548"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Mauro Carvalho Mendon&#231;a, Jo&#227;o Bettencourt Abreu, Karina Gama"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Mauro Carvalho"
            "apellidos" => "Mendon&#231;a"
            "email" => array:1 [
              0 => "mauro.carvalho.mendonca@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Jo&#227;o Bettencourt"
            "apellidos" => "Abreu"
          ]
          2 => array:2 [
            "nombre" => "Karina"
            "apellidos" => "Gama"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Anesthesiology Department&#44; Central Hospital of Funchal&#44; Av&#46; Lu&#237;s de Cam&#245;es 6180&#44; 9000-177 Funchal&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Hemorragia alveolar difusa tras extubaci&#243;n orotraqueal probablemente inducida por la inhalaci&#243;n de sevoflurano"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1199
            "Ancho" => 1267
            "Tamanyo" => 166514
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#44; b&#41; Axial and coronal views of thoracic computed tomography performed after admission in intensive care unit&#59; &#40;c&#41; lesion observed in bronchoscopy on day five after admission&#46; &#40;d&#41; Coronal view of thoracic computed tomography performed 15 days after the first tomographic evaluation&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report a case of a 38 years old male&#44; smoker&#44; without previous known pathologies and any assumed toxic habits&#46; Pre-operative tests including coagulation&#44; were normal&#46; He was submitted to supraspinatus raffia through shoulder arthroscopy&#44; under balanced general anesthesia with inhaled Sevoflurane&#46; Orotracheal intubation &#40;OI&#41;&#44; performed with Macintosh laryngoscope&#44; was smooth and easy with a 7&#46;5<span class="elsevierStyleHsp" style=""></span>mm reinforced tube&#46; No trauma or other complications were reported during OI or surgery&#46; Two minutes after extubation&#44; the patient presented laryngospasm&#44; desaturation&#44; and massive hemoptysis&#46; He was immediately reintubated and admitted to Intensive Care Unit&#44; where a first diagnostic bronchofibroscopy was performed&#44; reporting distal massive hemorrhage without any visible focus or trauma in the airways&#46; Thorax Computed Tomography showed diffuse alveolar hemorrhage &#40;DAH&#41; and excluded pulmonary embolism &#40;PE&#41;&#46; After five days with OI&#44; a new bronchofibroscopy showed a lesion in the posterior wall of trachea&#46; An autoimmune screening was performed and excluded vasculitis&#46; Patient was discharged after two weeks and a third bronchofibroscopy was made after one month&#44; displaying good evolution&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this case there were several different diagnostic possibilities&#58; Airway trauma&#44; PE&#44; autoimmune diseases&#44; negative pressure pulmonary edema &#40;NPPE&#41; and Sevoflurane induced DAH&#46; The lesion found in the second bronchofibroscopy was not seen in the first exam&#44; which could be related to the use of high pressure endotracheal cuff&#44; during the five days of OI&#46; In the other hand&#44; in the first bronchofibroscopy&#44; the presence of an orotracheal tube may have hindered the observation of tracheal trauma&#46; NPPE after an upper airway obstruction such as laryngospasm is another plausible hipothesys&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Still&#44; preexisting pulmonary damage from smoking and administration of the irritating inhaled anesthetic Sevoflurane&#44; could lead to DAH&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> There are&#44; in literature&#44; a few case reports<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a> of hemoptysis related to the association of inhaled Sevoflurane and NPPE after extubation&#44; and this might be another one &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Even though we didn&#8217;t find an unequivocal diagnosis&#44; with this case we wanted to highlight the chance of Sevoflurane induced DAH or NPPE as hypothesis for immediate postoperative hemoptysis&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1199
            "Ancho" => 1267
            "Tamanyo" => 166514
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#44; b&#41; Axial and coronal views of thoracic computed tomography performed after admission in intensive care unit&#59; &#40;c&#41; lesion observed in bronchoscopy on day five after admission&#46; &#40;d&#41; Coronal view of thoracic computed tomography performed 15 days after the first tomographic evaluation&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Negative pressure pulmonary edema-related diffuse alveolar hemorrhage associated with Sevoflurane and cigarette smoking"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46; Hao"
                            1 => "S&#46; Basnet"
                            2 => "S&#46; Melnick"
                            3 => "J&#46; Kim"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1080/20009666.2019.1608140"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Community Hosp Intern Med Perspect"
                        "fecha" => "2019"
                        "volumen" => "9"
                        "paginaInicial" => "247"
                        "paginaFinal" => "251"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31258867"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diffuse alveolar hemorrhage induced by sevoflurane"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;A&#46; Kim"
                            1 => "R&#46; Liu"
                            2 => "D&#46;W&#46; Hsia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1513/AnnalsATS.201402-067LE"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Am Thorac Soc"
                        "fecha" => "2014"
                        "volumen" => "11"
                        "paginaInicial" => "853"
                        "paginaFinal" => "855"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24936702"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03002896/0000005700000008/v1_202108020527/S0300289621000144/v1_202108020527/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "21422"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Clinical Images / Im&#225;genes cl&#237;nicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005700000008/v1_202108020527/S0300289621000144/v1_202108020527/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621000144?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 57. Issue 8.
Pages 547-548 (August 2021)
Share
Share
Download PDF
More article options
Vol. 57. Issue 8.
Pages 547-548 (August 2021)
Clinical Image
Full text access
Diffuse Alveolar Hemorrhage After Orotracheal Extubation Probably Induced by Sevoflurane Inhalation
Hemorragia alveolar difusa tras extubación orotraqueal probablemente inducida por la inhalación de sevoflurano
Visits
2688
Mauro Carvalho Mendonça
Corresponding author
, João Bettencourt Abreu, Karina Gama
Anesthesiology Department, Central Hospital of Funchal, Av. Luís de Camões 6180, 9000-177 Funchal, Portugal
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Full Text

We report a case of a 38 years old male, smoker, without previous known pathologies and any assumed toxic habits. Pre-operative tests including coagulation, were normal. He was submitted to supraspinatus raffia through shoulder arthroscopy, under balanced general anesthesia with inhaled Sevoflurane. Orotracheal intubation (OI), performed with Macintosh laryngoscope, was smooth and easy with a 7.5mm reinforced tube. No trauma or other complications were reported during OI or surgery. Two minutes after extubation, the patient presented laryngospasm, desaturation, and massive hemoptysis. He was immediately reintubated and admitted to Intensive Care Unit, where a first diagnostic bronchofibroscopy was performed, reporting distal massive hemorrhage without any visible focus or trauma in the airways. Thorax Computed Tomography showed diffuse alveolar hemorrhage (DAH) and excluded pulmonary embolism (PE). After five days with OI, a new bronchofibroscopy showed a lesion in the posterior wall of trachea. An autoimmune screening was performed and excluded vasculitis. Patient was discharged after two weeks and a third bronchofibroscopy was made after one month, displaying good evolution.

In this case there were several different diagnostic possibilities: Airway trauma, PE, autoimmune diseases, negative pressure pulmonary edema (NPPE) and Sevoflurane induced DAH. The lesion found in the second bronchofibroscopy was not seen in the first exam, which could be related to the use of high pressure endotracheal cuff, during the five days of OI. In the other hand, in the first bronchofibroscopy, the presence of an orotracheal tube may have hindered the observation of tracheal trauma. NPPE after an upper airway obstruction such as laryngospasm is another plausible hipothesys.1 Still, preexisting pulmonary damage from smoking and administration of the irritating inhaled anesthetic Sevoflurane, could lead to DAH.1 There are, in literature, a few case reports1,2 of hemoptysis related to the association of inhaled Sevoflurane and NPPE after extubation, and this might be another one (Fig. 1).

Fig. 1.

(a, b) Axial and coronal views of thoracic computed tomography performed after admission in intensive care unit; (c) lesion observed in bronchoscopy on day five after admission. (d) Coronal view of thoracic computed tomography performed 15 days after the first tomographic evaluation.

(0.16MB).

Even though we didn’t find an unequivocal diagnosis, with this case we wanted to highlight the chance of Sevoflurane induced DAH or NPPE as hypothesis for immediate postoperative hemoptysis.

References
[1]
D. Hao, S. Basnet, S. Melnick, J. Kim.
Negative pressure pulmonary edema-related diffuse alveolar hemorrhage associated with Sevoflurane and cigarette smoking.
J Community Hosp Intern Med Perspect, 9 (2019), pp. 247-251
[2]
C.A. Kim, R. Liu, D.W. Hsia.
Diffuse alveolar hemorrhage induced by sevoflurane.
Ann Am Thorac Soc, 11 (2014), pp. 853-855
Copyright © 2021. SEPAR
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?