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Anesth Analg 2001;92:273-275
© 2001 International Anesthesia Research Society

CASE REPORTS

Negative Pressure Post-Tracheal Extubation Alveolar Hemorrhage

Alain François Broccard, MD, FCCP*, Lucas Liaudet, MD*, John-David Aubert, MD{dagger}, Pierre Schnyder, MD{ddagger}, and Marie-Denise Schaller, MD**

Divisions of *Intensive Care (Service B) and {dagger}Pulmonary Medicine, Department of Medicine; and {ddagger}Department of Radiology, University Hospital, Lausanne, Switzerland

Address correspondence and reprint requests to Alain Broccard, Médecin Associé, Division de Soins Intensifs, Service B, Département de Médecine Interne, Centre Hospitalier Universitaire Vaudois, Rue Du Bugnon 25, Ch-1011, Lausanne, Switzerland. Address e-mail to alain.broccard{at}chuv.hospvd.ch

Implications: General anesthesia often requires placing a tube into the trachea to maintain adequate breathing. At the end of the surgical procedure, the endotracheal tube is removed, and this, as reported here, may sometimes result in the development of pulmonary hemorrhage. We documented the regional distribution by computed tomography of the hemorrhage and its alveolar origin by bronchoscopy and suggest that small lung vessel damage best explains those findings.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2001 by the International Anesthesia Research Society.