• Vol. 31 No. 4, 531–534
  • 15 July 2002

A Case of Pulmonary Haemorrhage Following Jet Ventilation for Vocal Cord Surgery

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ABSTRACT

Introduction: This case report highlights haemoptysis occurring after post-extubation laryngospasm.

Clinical Picture: General anaesthesia using Sanders jet ventilation with a Benjamin tube was administered for a patient undergoing vocal cord biopsy. He developed laryngospasm followed by significant pulmonary haemorrhage and widespread crepitations in the lung.

Treatment: Laryngospasm was aborted with assisted ventilation with oxygen 100% via bag and mask.

Outcome: Oxygenation was well maintained with nasal prongs only postoperatively and haemoptysis resolved after 2 days.

Conclusion: It is imperative to prevent laryngospasm from occurring and swift action must be taken to avoid pulmonary haemorrhage.


Laryngospasm occurring at extubation is not an uncommon complication seen with use of endotracheal tubes and laryngeal mask airway. We report a case of laryngospasm on extubation of a Benjamin jet tube resulting in pulmonary haemorrhage.

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