Tuesday, March 22, 2016

Q: How much ice cooled saline should kept available at bedside while performing bronchoscopy to control massive hemoptysis?

Answer: About one litre

If it is decided to use ice cooled saline lavage while trying to control massive hemoptysis - it is advisable to keep about twenty 50 mL syringes ready, as it may take anywhere from 300cc to 1000cc of ice cooled saline to see desirable effect via vasoconstriction.


1.  Conlan AA, Hurwitz SS, Krige L, et al. Massive hemoptysis. Review of 123 cases. J Thorac Cardiovasc Surg 1983; 85:120. 

2. Cahill BC, Ingbar DH. Massive hemoptysis. Assessment and management. Clin Chest Med 1994; 15:147.

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