Hemoptysis and post obstructive pulmonary edema

Hemoptysis Ali Sepehr Case • 1 month old male who began to have post operative hemoptysis. First step control and protect airway • If mild • If massive DDx The POPE • • • • • Agitation, Respiratory distress Tachypnea, tachycardia, rales, ronchi Blood tinged secretions A-a gradient Minutes to hours after the inciting event Type II Type I • • • • • • • • • • • • • • Postextubation laryngospasm Epiglottitis Croup Choking/foreign body Strangulation Hanging Endotracheal tube obstruction Laryngeal tumor Goiter Mononucleosis Postoperative vocal cord paralysis Migration of Foley catheter balloon used to tamponade epistaxis Near drowning Intraoperative direct suctioning of endotracheal tube adapter Type II • • • • Post-tonsillectomy/ adenoidectomy Post-removal of upper airway tumor Improvement of choanal stenosis Removal of hypertrophic redundant uvula Treatment • Oxygen • Intubation with PEEP • Diuretics