Torrential Airway Bleed in Acute Liver Failure Patient Posted for Liver Transplant - A Rare Case Report

A eleven years old female was scheduled for emergency liver transplant in view of acute liver failure. Patient was intubated three day back prior shifting to operating table in emergency ward in view of hepatic encephalopathy grade 3. Thereafter patient was shifted to liver come intensive care unit for further evaluation and stabilization of the patient, Once the organ donar workup was done, Patient was shifted to operating room for liver transplant. After attaching all ASA standared monitoring, Endotracheal tube was Exchanged with Bougie guided which was smooth but suddenly massive blood started from endotracheal tube of approxiamately 400ml in amount with reduced compliance of the lung but patient was treated accordingly and shifted back to intensive care unit.