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An overview on the principles of management of haemoptysis

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Haemoptysis is a frequently encountered presentation in thoracic surgery practice. Most of the patients present with chronic haemoptysis while 5% of them will present with life-threatening acute haemoptysis. Emergency surgery used to be the first-line management in acute life-threatening haemoptysis which resulted in significant morbidity and mortality. With advancements in interventional procedures, most of these acute presentations are now being managed conservatively by interventionists. In a country like India with a high incidence of tuberculosis and other infectious diseases of the lungs, haemoptysis is even more common. While interventional procedures help to tide over the crisis and earn valuable time to stabilise a haemorrhaging patient, surgical resection is the definitive management most of the time. This review will endeavour to establish the definition, aetiology, emergency, and definitive management of a patient who presents with haemoptysis.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, The Christian Medical College (CMC Hospital), Vellore, 632004, Tamil Nadu, India

    Santhosh Regini Benjamin, Raj Kumar Joel, Birla Roy Gnanamuthu, Vinay Murahari Rao & Shalom Sylvester Andugala

  2. Department of Respiratory Medicine, The Christian Medical College, Vellore, 632004, Tamil Nadu, India

    Avinash Anil Nair

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Contributions

All authors contributed to the study conception and design. The manuscript was written by Santhosh Regini Benjamin, Avinash Anil Nair, and Raj Kumar Joel. The surgeries were done by Birla Roy Gnanamuthu, Vinay Murahari Rao, Shalom Sylvester Andugala, and Santhosh Regini Benjamin. All authors read and approved the final manuscript.

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Correspondence to Santhosh Regini Benjamin.

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Written consent for studies and publication were obtained from the patients prior to the surgery, bronchoscopy, or BAE.

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The study has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Benjamin, S.R., Nair, A.A., Joel, R.K. et al. An overview on the principles of management of haemoptysis. Indian J Thorac Cardiovasc Surg 39, 505–515 (2023). https://doi.org/10.1007/s12055-023-01547-y

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