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CASE REPORTS

Negative Pressure Post-Tracheal Extubation Alveolar Hemorrhage

Alain François Broccard, MD, FCCP^*, Lucas Liaudet, MD^*, John-David Aubert, MD, Pierre Schnyder, MD, and Marie-Denise Schaller, MD*^*

Divisions of *Intensive Care (Service B) and Pulmonary Medicine, Department of Medicine; and 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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