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September 22, 1956


JAMA. 1956;162(4):425. doi:10.1001/jama.1956.02970210165023

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To the Editor:—  I have read with interest an article in the June 9, 1956, issue of The Journal, page 525, entitled "Massive Hemorrhage Occuring During Bronchoscopy" by William K. Hamilton and Samuel H. Walker. Although I do not wish to indicate that any form of treatment could have guaranteed a favorable outcome in the case reported, I should like to report that I have recently successfully treated a patient with similar intrabronchial bleeding following bronchoscopic biopsy by packing the involved bronchus with a long strip of narrow gauze through the bronchoscope. It was necessary to maintain both the gauze and the bronchoscope in place for about one-half hour, during which time the bleeding ceased. The patient tolerated the procedure very well and experienced no respiratory embarrassment. Bleeding did not recur. The postoperative course was uncomplicated. This method has been successfully employed by others. I would like to suggest that

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