PURPOSE: Bronchoscopy has been used for emergency management of endobronchial bleeding, they help to buy time to restore clinical stabilty and to perform essential diagnostic and definitive management. The purpose of our study was to effectiveness of endobronchial sclerotherapy in patients of active hemoptysis.
METHODS: The present study was conducted on patients, attending the Outpatient Department (OPD) and those who were admitted in the wards (IPD) of Department of Tuberculosis and Chest Diseases, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh. All the patients underwent bronchoscopy using Olympus (BF Te2e) model in an endoscopy room or bedside. Bleeding segment/site was detected and control of bleeding was attempted by placing the bronchoscope in the hemorrhaging bronchus. A polythene catheter wwith an outer diameter of 2 mm was passed through the bronchoscope channel to place it slowly into the bleeding segment. Thereafter, 0.5–1.5 ml of n-butyl cyanoacrylate was injected through the catheter with a water column behind. The therapy was classified as very effective if hemoptysis didnot reccur within 14 days, somewhat effective when hemoptysis recurred after 24 hours but less than 14 days, and ineffective if hemoptysis continued post-treatment.
RESULTS: Instillation of tissue glue n-butyl cyanoacrylate was very effective in 50% patients and somewhat effective in 50% patients.
CONCLUSION: Instillation of tissue glue n-butyl cyanoacrylate is an effective technique for control of hemoptysis.
CLINICAL IMPLICATIONS: Endobronchial sclerotherapy is an effective technique to buy time to restore clinical stabilty and to perform essential diagnostic and definitive management in patients of active hemoptysis.
DISCLOSURE: Naveed Shah, None.