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뇌사 장기 공여자에서 반복 폐포모집술로 호전된 저산소혈증

Other Titles
 Improvement of Hypoxemia by Repetitive Alveolar Recruitments in Brain-dead Donor 
Authors
 한동우  ;  김애스터  ;  고신옥 
Citation
 Korean Journal of Anesthesiology (대한마취과학회지), Vol.46(5) : 636-639, 2004 
Journal Title
 Korean Journal of Anesthesiology  (대한마취과학회지) 
ISSN
 0302-5780 
Issue Date
2004
Abstract
Brain-dead potential donors manifest devastating physiological changes associated with pulmonary edema, profound hemodynamic and metabolic abnormalities. These derangements may be more significant after apnea tests which result in severe hypoxemia and cardiovascular complications. De-recruitment can occur following apnea tests in the brain-dead donor whose ventilator support has been maintained with high positive end-expiratory pressure (PEEP), and recruitment maneuvers are intended to open collapsed lung units. We report a brain-dead potential donor with severe hypoxemia and hemodynamic instability after apnea tests, which improved after multiple alveolar recruitments with adequate vasoactive drugs. Multiple high-pressure recruitment maneuvers will be helpful for expansion of lung collapse with improvement of severe hypoxemia after de-recruitment which could be developed with apnea tests in brain-dead organ donor.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Koh, Shin Ok(고신옥)
Han, Dong Woo(한동우) ORCID logo https://orcid.org/0000-0002-8757-663X
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111888
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