Massive Pulmonary Hemorrhage After Pulmonary Thromboendarterectomy

Anesthesia and Analgesia 2004 vol. 99 no. 3672-675

Figure 1. A general algorithm for the approach to postcardiopulmonary bypass (CPB) pulmonary hemorrhage. PEEP = positive end-expiratory pressure; FFP = fresh frozen plasma; PAP = positive airway pressure.

During a second attempt at separation from CPB, PEEP 10 cm H₂O was applied; phenylephrine 10 mg and vasopressin 20 U diluted to 10 mL with normal saline were administered via the endotracheal tube;

pulmonary thromboendarterectomy (PTE); cardiopulmonary bypass (CPB)