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체외순환 중 발생한 대량 객혈의 처치

Other Titles
 Manangement of Massive Hemoptysis during Cardiopulmonary Bypass 
Authors
 강원석  ;  오영준  ;  이재호  ;  심연희  ;  곽영란  ;  김승정 
Citation
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.41(4) : 503-506, 2001 
Journal Title
 Journal of Korean Society of Anesthesiologist  (대한마취과학회지) 
ISSN
 0302-5780 
Issue Date
2001
Abstract
A 56-year old female who had an atrial septal defect with tricuspid regurgitation received a patch repair and tricuspid annuloplasty. During weaning from cardiopulmonary bypass (CPB), bright red blood filled the endotracheal tube and breathing circuit. We suctioned the blood through the endotracheal tube. The bleeding was massive (about 400 ml) but the airway could be cleared with endotracheal suction. We irrigated endotracheal tube with normal saline with phenylephrine. The weaning of CPB was done and protamine was administered. The bleeding ceased when protamine was administered. Weaning from CPB was accomplished uneventfully. We found a little bleeding in the right main stem bronchus by flexible bronchoscopy but did not do any more procedures. In the intensive care unit, the patient had stable vital signs and good respiratory function. The patient was extubated without any problems at postoperative 1 day and transferred to ward without any complications.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142734
Files in This Item:
T200102894.pdf Download
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실)
Yonsei Authors
심연희(Shim, Yon Hee)
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