A 36-year-old female patient with aplastic anemia developed massive hemoptysis and was placed on ventilator support. However, airway obstruction by blood clots triggered desaturation and ventilator malfunction. Manual ventilation was initiated to improve oxygenation, and emergency flexible bronchoscopy was performed to clear the airway. Nevertheless, the patient developed extensive subcutaneous emphysema, pneumothorax, and pneumomediastinum.
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Clinical Approach to Massive Hemoptysis: Perioperative Focus on Causes and Management Timothy Weiquan Toh, Jacqueline Hui Fen Goh, Sui An Lie, Carrie Kah Lai Leong, Nian Chih Hwang Journal of Cardiothoracic and Vascular Anesthesia.2024; 38(10): 2412. CrossRef
Pathophysiology and Prevention of Manual-Ventilation-Induced Lung Injury (MVILI) Luke A. White, Steven A. Conrad, Jonathan Steven Alexander Pathophysiology.2024; 31(4): 583. CrossRef
Experimental validation of a portable tidal volume indicator for bag valve mask ventilation Benjamin S. Maxey, Luke A. White, Giovanni F. Solitro, Steven A. Conrad, J. Steven Alexander BMC Biomedical Engineering.2022;[Epub] CrossRef