Proposed Algorithm for the Management of the Patient with Hemoptysis - Flowchart
Proposed Algorithm for the Management of the Patient with Hemoptysis - Flowchart Hemoptysis Hemoptysis
«Flowchart»

Hemoptysis

Hemoptysis

Hemoptysis

Nonmassive

Nonmassive

Nonmassive

Massive

Massive

Massive

Clinical evaluation

Clinical evaluation

Clinical evaluation

Chest CT

Chest CT

Chest CT

Diagnostic bronchoscopy

Diagnostic bronchoscopy

Diagnostic bronchoscopy

Conservative medical management

Conservative medical management

Conservative medical management

Therapy for underlying cause

Therapy for underlying cause

Therapy for underlying cause

End

End

End

Stabilization


Decubitus positioning
Endotracheal intubation (size ≥8)
IV access

Stabilization


Decubitus positioning
Endotracheal intubation (size ≥8)
IV access

Stabilization


Decubitus positioning
Endotracheal intubation (size ≥8)
IV access


Decubitus positioning
Endotracheal intubation (size ≥8) ≥
IV access

Chest CT

Chest CT

Chest CT

Clinically stable?

Clinically stable?

Clinically stable?

Yes

Yes

Yes

No

No

No

Diagnostic bronchoscopy

Diagnostic bronchoscopy

Diagnostic bronchoscopy

Therapy for underlying cause

Therapy for underlying cause

Therapy for underlying cause

Multidisciplinary team involvement


Intensive care
Interventional radiology
Pulmonary
Thoracic surgery

Multidisciplinary team involvement


Intensive care
Interventional radiology
Pulmonary
Thoracic surgery

Multidisciplinary team involvement


Intensive care
Interventional radiology
Pulmonary
Thoracic surgery


Intensive care
Interventional radiology
Pulmonary
Thoracic surgery

Consider surgery

Consider surgery

Consider surgery

Portable x-ray

Portable x-ray

Portable x-ray

Therapeutic bronchoscopy


Clot removal
Local tamponade
Lung isolation

Therapeutic bronchoscopy


Clot removal
Local tamponade
Lung isolation


Clot removal
Local tamponade
Lung isolation Therapeutic bronchoscopy

Chest CT ± BAE

Chest CT ± BAE

Chest CT ± BAE