Table 1 Summary and timeline of clinical progress
From: Endobronchial embolization for life-threatening hemoptysis with Endobronchial Watanabe Spigot
Relevant past medical history and interventions | |||
|---|---|---|---|
78-year-old lady with no prior known chronic medical illness Non-smoker and no previous hospital admission | |||
Day | Summaries from initial and follow-up visits | Essential diagnostic testing | Interventions |
Day 1 | Massive hemoptysis and cardiac arrest | Haemoglobin level 13.5 g/dl Chest X-ray Bibasal alveolar infiltrates Thoracic CT angiogram Consolidation at posterior basal segment of left lower lobe and lingular Endotracheal tube aspirate Acid fast bacili—negative Xpert MTB/RIF—negative | Invasive mechanical ventilation Flexible bronchoscopy and EWS insertion Empirical broad spectrum antibiotic |
Post EWS insertion | Chest X-ray EWS in optimal position | Bronchial artery embolization—failed | |
Day 2 | No recurrence of bleeding | ||
Day 3 | No recurrence of bleeding | Haemoglobin level 7.5 g/dl | Transfuse 1 pint packed cell |
Day 4 | No recurrence of bleeding | Haemoglobin level 10.4 g/dl | Removal of EWS Extubated |
Day 6 | Ambulating in ward | Discharged from ward | |
Day 30 | Follow up visit | Chest X-ray Bronchiectasis | Bronchiectasis management |