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기침으로 배출되어 인지된 기관지 내의 절단된 유도자

Other Titles
 Iatrogenic Aspiration of a Broken Stylet Detected by Cough 
Authors
 임영수  ;  윤경봉  ;  임현교  ;  박건식 
Citation
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.45(2) : 290-292, 2003 
Journal Title
 Journal of Korean Society of Anesthesiologist (대한마취과학회지) 
ISSN
 0302-5780 
Issue Date
2003
MeSH
complication ; intubation ; stylet
Keywords
complication ; intubation ; stylet
Abstract
Complications related to a broken stylet during endotracheal intubation have been infrequently reported. In most cases, broken stylets have been recognized by chest radiogrphy. We report a case of unrecognized iatrogenic aspiration of a broken stylet. A 37-year-old man, who underwent explo-laparotomy two days previously, was reintubated with an uncoated stylet in the intensive care unit because of dyspnea and pulmonary congestion. He was on artificial ventilation for one day and was extubated one week later. We could not find the broken stylet on serial chest x-ray films until a metallic substance was expectorated while the patient was coughing 28 days after extubation. During the intervening period the patient did not complain of any chest discomfort and we did not realize that the broken stylet remained. The use of a plastic coated stylet and its careful observation after intubation are recommended to avoid this complication.
Files in This Item:
T200302077.pdf Download
DOI
OAK-2003-00109
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113269
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