Hemoptysis: Clinicians’ Perspectives

13 Apr

Hemoptysis: Clinicians' Perspectives

Temoptvsis is a symptom and sign commonly evaluated by chest clinicians. Despite consider­able emphasis upon the approaches to this problem and its diverse presentations, several questions re­main: the selection of ambulatory patients for bron­choscopy and other diagnostic studies, the optimum approaches to the emergency support of individuals with life-threatening bleeding, and the best applica­tions of increasing technologic resources have all been undefined. Moreover, published guidelines for man­agement of patients with hemoptysis are based pre­dominantly upon retrospective studies, uncontrolled anecdotal observations, and case reports, most of which have originated from tertiary centers. It is unclear how this information is synthesized and ap­plied by the physician who is primarily responsible for care of patients presenting with hemoptysis.

Patterns of physician practices are important in defining appropriate standards of care, but there are no current reports available regarding clinicians views and approaches to patients with pulmonary hemor­rhage. To assess attitudes about the diagnosis and management of patients with hemoptysis, questions relating to these areas were incorporated in an inter­active session of the 1988 Annual Scientific Assembly of the American College of Chest Physicians. A sophisticated audience of experienced chest clinicians had substantial agreement in the practical approach to evaluation and care of patients with hemoptysis, but identified some areas requiring further investiga­tion. Viagra Super Active