Jacobs Journal of Anesthesiology and Research

A Unique Technique of External Chest Compressions Synchronised with Suction to Clear an Occluded Main Bronchus

Published on: 2015-10-26


Both positive pressure ventilation via endotracheal intubation and non-invasive ventilation are established modes of ventilation support for the treatment of respiratory failure. The choice depends on the overall clinical status of the patient. The British Thoracic Society has set criteria for the choice and application of non-invasive ventilation in 2002. The application of Bi-level Positive Airway Pressure (BiPAP) as a mode of ventilation support is an effective and popular option. However, there are numerous complications associated with these techniques. This case report describes an unreported rare complication during BiPAP supportive ventilation where the left main bronchus was occluded with blood clots, and the application of a unique technique to clear the obstructed bronchus in order to restore effective ventilation to that lung.


Haemoptysis; Acute respiratory failure; Lung collapse; BiPAP; Cardiac arrest; Resuscitation; Bronchial Obstruction; Bronchoscopy