conditions that result in blood in airway not related to trauma"

C

coolidge

Forum Crew Member
Messages
76
Reaction score
0
Points
6
What are nontraumatic conditions that result in blood in the airway that requires suction to maintain an airway?
 
coolidge said:
What are nontraumatic conditions that result in blood in the airway that requires suction to maintain an airway?
Click to expand...

Eating the heart of your enemies. And choking.


All sorts of GI issues, hemoptysis, hematemesis, cancers, ruptured varices, etc.
 
Ruptured esophageal varices for instance, I guess you can try suction lol
 
should have asked what is the mechanism for the condition that requires airway suctio

I should of asked, what is the mechansim whereby blood entires the airway that requires suction in nontrauma.....I should of said.
 
choking and blood in aiway to require suction

How would choking result in blood in airway that would require suction?
 
Why such a hard on for suction? Suction does not maintain airway, suction may clear the airway. Your OPA, NPA, Rescue device, ET maintains the airway.
 
Choking on something that causes hemorrhage that results in needing to suction the airway clear or are you asking about what causes massive non-traumatic hemorrhage requiring suction to maintain an open airway?

Well... there's lots of causes... but massive bleeding usually means that big blood vessels have ruptured for some reason. The esophagus (for example) has some pretty good sized ones. The question becomes what causes the rupture?

And good luck keeping up with the suctioning.
 
Ecgg said:
Why such a hard on for suction? Suction does not maintain airway, suction may clear the airway. Your OPA, NPA, Rescue device, ET maintains the airway.
Click to expand...

Sounds like an EMT homework question.
 
what would be the name of the vessel that ruptured?

I understand the general explanations, but what is the exact mechanism, ie choking, what would be the name of the vessel that ruptured....or lead vessel that typically would be suspected of rupture?
 
This sounds an awful lot like a homework question.
 
Definitely sounds like homework but I'll play.

coolidge said:
I understand the general explanations, but what is the exact mechanism, ie choking, what would be the name of the vessel that ruptured....or lead vessel that typically would be suspected of rupture?
Click to expand...

There's lots of vasculature in your airway, oro/nasopharynx, and esophagus that could cause bleeding. It's not going to be a specific vessel every time.

I'm not really understanding your question.

Look up the pathophysiology behind varcies.

Gastric ulcers causing vomiting resulting in aspiration...digested blood in the airway.

Severe epistaxis (secondary to a Hypertensive crisis, dryness, drug use, whatever it may be) resulting in vomiting and, again, aspiration or just plain old aspiration in a patient who cannot protect their own airway. A few years back a medic here had a a women completely A&O suck a clot out if her nose and down into her airway when she sniffled causing a total occlusion ending in her death because they were unable to relieve the obstruction.

You could argue that pulmonary edema is "blood in the airway." Not exactly but similar. Things move from the high pressure gradient to the lower pressure gradient to attempt to create equilibrium. High pressure in the pulmonary vasculature causes fluid to diffuse across the capillary membrane into the alveoli (very simple explanation).


I've got a fun one that I had the other day, airway nightmare...A Mallory Weiss tear.

I personally would consider choking a traumatic injury to the airway. It's causing trauma which is bleeding but that's just my opinion. An esophageal obstruction could cause bleeding and aspiration but I'd consider that traumatic as well.

Alright I'm out of ideas.

Ecgg said:
Why such a hard on for suction? Suction does not maintain airway, suction may clear the airway. Your OPA, NPA, Rescue device, ET maintains the airway.
Click to expand...

You really think an NPA or OPA is going to protect an airway with an active hemorrhage in it?

Really?

Suction is a key component of airway control, especially with BLS airway adjuncts. Why do you think trach and long term intubated patients have a soft suction catheter with a sterile sheath built into the vent circuit?

Try and BLS a messy airway without suction and let me know how that works out for you.
 
Aaa

I am having the infamous rectal cranial inversion.
Would a AAA result in blood in the airway?
 
You tell us if you think it would or wouldn't.
 
coolidge said:
I am having the infamous rectal cranial inversion.
Would a AAA result in blood in the airway?
Click to expand...

A much better understanding of anatomy and physiology would serve you well...
 
Ive searched - maybe you experts have a goon line source you can recommend

What on line reference do you recommend
 
What makes you think that a rupturing Aortic aneurysm would have anything to do with blood in the trachea? :blink:

What are you trying to search? Just think about the anatomical locations of structures involved.
 
Last edited by a moderator:
Oddly, this isn't the first time I've seen someone wonder if a AAA causes an upper GI bleed. Perhaps a confusion of "all tubes in the neck are the same" and Mallory Weiss tear instead of thoracic aortic aneurysm dissection? It seems to indicate confusion on several different levels.
 
This seems more like an EMT basic test/homework question.

"When might you have to suction blood from the airway that's not caused by a traumatic injury?"
 
You must log in or register to reply here.
Back
Top