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폐전절제술을 받아 기관이 오른쪽으로 편향되어 있는 환자에서 경동맥 내막절제술 중에 발생한 강화 기관내관의 부분폐쇄 : 증례 보고

Other Titles
 Partial Obstruction of an Armored Endotracheal Tube during a Carotid Endarterectomy due to Tracheal Deviation in a Pnemonectomized Patient 
Authors
 배선준 ; 김기준 ; 박윤곤 ; 김건호 ; 김종훈 
Citation
 Korean Journal of Anesthesiology (대한마취과학회지), Vol.41(1) : 105~109, 2001 
Journal Title
 Korean Journal of Anesthesiology  (대한마취과학회지) 
ISSN
 0302-5780 
Issue Date
2001
Abstract
Endotracheal tube obstruction during anesthesia can have many causes. Hyperinflation of the remaining lung after a pneumonectomy can severely displace the trachea, and attachment of an endotracheal tube tip to the wall of a deviated trachea may also cause severe airway obstruction. The right lung of the patient was removed 3 years ago due to lung cancer. Compensatory hyperinflation of the left lung and severe right-sided tracheal deviation was seen on a chest X-ray. An armored endotracheal tube without Murphy's eye was used. Two hours after beginning the operation, peak airway pressure and PETCO2 began to increase gradually. A wheezing-like sound was heard. Bronchospasm was suspected, but signs of a spasm were not relieved by medications. The signs completely disappeared after pulling the tube 2 cm proximal. The position of the tube should be confirmed by fiberoptic bronchoscopy or chest X-ray after intubation when the trachea is deviated.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/142764
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Anesthesiology and Pain Medicine
Yonsei Authors
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