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자가충전 호흡낭-밸브 기구의 기능장애로 인한 심각한 저혈압
DC Field | Value | Language |
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dc.contributor.author | 심규대 | - |
dc.contributor.author | 심연희 | - |
dc.contributor.author | 이정인 | - |
dc.contributor.author | 이종석 | - |
dc.date.accessioned | 2015-07-14T17:06:16Z | - |
dc.date.available | 2015-07-14T17:06:16Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/112214 | - |
dc.description.abstract | Mishaps related to valve malfunction tn a self-inflating bag-valve unit can lead to fatal complications. We report a case of severe hypotension that resulted from the locking of the Laerdal valve in the inspiratory position during transport in the operating room. A 36 year old man had undergone an off-pump coronary artery bypass graft. Immediately before leaving the operating room, severe hypotension developed abruptly. But an EKG showed only a reduction of heart rate. We started closed cardiac massage with an intravenous bolus injection of epinephrine 0.5 mg and reconnected the anesthesia breathing circuit. The patient was manually ventilated using the anesthesia reservoir bag. Vital signs immediately recovered. At that time, the patient´s abdomen was distended and we suspected an expiratory abnormality. The self-inflating bag-valve unit was tested with an anesthesia reservoir bag as a test lung. Expiration did not occur. Another self-inflating bag-valve unit was substiuted and normal ventilation was restored. It is essential that before use, a self-inflating bag-valve unit should be tested for proper function during both expiration and inspiration using a test lung such as, an anesthesia reservoir bag. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 360~362 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF ANESTHESIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 자가충전 호흡낭-밸브 기구의 기능장애로 인한 심각한 저혈압 | - |
dc.title.alternative | Severe Hypotension Caused by Valve Malfunction in the Self-Inflating Bag-Valve Unit | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | 심연희 | - |
dc.contributor.googleauthor | 이종석 | - |
dc.contributor.googleauthor | 심규대 | - |
dc.contributor.googleauthor | 최동훈 | - |
dc.contributor.googleauthor | 이정인 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.relation.journalcode | J03189 | - |
dc.identifier.eissn | 2005-7563 | - |
dc.subject.keyword | complication | - |
dc.subject.keyword | non-rebreathing valve | - |
dc.subject.keyword | severe hypotension | - |
dc.subject.keyword | resuscitation | - |
dc.subject.keyword | self-inflating bag | - |
dc.contributor.alternativeName | Shim, Kyu Dae | - |
dc.contributor.alternativeName | Shim, Yon Hee | - |
dc.contributor.alternativeName | Lee, Jung In | - |
dc.contributor.alternativeName | Lee, Jong Seok | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 46 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 360 | - |
dc.citation.endPage | 362 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.46(3) : 360-362, 2004 | - |
dc.identifier.rimsid | 45449 | - |
dc.type.rims | ART | - |
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