Intrapleural Epinephrine Irrigation for Massive Malignant Hemothorax
Journal
Thoracic and Cardiovascular Surgeon
Journal Volume
64
Journal Issue
3
Pages
263-265
Date Issued
2016
Abstract
Massive malignant hemothorax (MMH) is a rare and serious complication encountered in the field of oncology and can be life threatening. It is often difficult and complex to manage. Herein, we present cases of four patients who had MMH and in whom a hemothorax was successfully stopped via continuous intrapleural irrigation with epinephrine (5-mg epinephrine/1,000-mL normal saline, infused at 100 mL/h) instead of a conventional surgical approach. Although no patient deaths were attributed to intractable bleeding, two deaths were related to multiple organ failure. Despite the limited number of cases, this method was a convenient, effective, and inexpensive alternative to open surgical or thoracoscopic drainage for MMH. ? 2016 Georg Thieme Verlag KG.
Subjects
hemothorax
intrapleural treatment
malignancy
SDGs
Other Subjects
adrenalin; tranexamic acid; epinephrine; vasoconstrictor agent; adult; Article; cancer patient; case report; chest tube; female; hematothorax; hospital mortality; human; male; massive malignant hemothorax; massive malignant hemothorax; middle aged; multiple organ failure; oxygen saturation; priority journal; thorax drainage; thorax radiography; video assisted thoracoscopic surgery; complication; Hemothorax; lavage; Pleural Neoplasms; procedures; thoracostomy; Adult; Epinephrine; Hemothorax; Humans; Male; Pleural Neoplasms; Radiography, Thoracic; Therapeutic Irrigation; Thoracostomy; Vasoconstrictor Agents
Type
journal article