A 55-year-old man on ICU has massive haemoptysis from a right upper lobe cavitating lesion. While awaiting bronchial artery embolisation, what immedia...

Question

A 55-year-old man on ICU has massive haemoptysis from a right upper lobe cavitating lesion. While awaiting bronchial artery embolisation, what immediate airway manoeuvre protects the non-bleeding lung?

Accepted Answer

Position bleeding lung DOWN (right lateral decubitus) and consider selective left mainstem intubation or bronchial blocker to isolate the bleeding lung and prevent blood flooding the non-affected lung

Answer

Increase PEEP

Answer

Suction only

Answer

Extubate

Answer

Nebulised adrenaline only

uk-fficm MCQ (SBA): Massive Haemoptysis

A 55-year-old man on ICU has massive haemoptysis from a right upper lobe cavitating lesion. While awaiting bronchial artery embolisation, what immediate airway manoeuvre protects the non-bleeding lung?