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술전 흉부 X-선 사진을 이용한 좌측 이중관 기관지 튜브의 삽관 깊이 예측

Other Titles
 Prediction of Depth of Left-sided Double Lumen Tube Insertion Using Preoperative Chest X-ray 
Authors
 이광호  ;  임현교  ;  윤경봉  ;  이경민  ;  권희욱 
Citation
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.35(3) : 488-491, 1998 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
ISSN
 0302-5780 
Issue Date
1998
Abstract
Introduction: Accurate placement of double-lumen endobronchial tube (DLT) is essential for optimal gas exchange and collapse of nondependent lung during one-lung anesthesia. The goal of this study was to determine if measurement of tracheal length from the preoperative chest X-ray can be used for the prediction of adequate length of left-sided DLT insertion.

Methods: 25 patients scheduled for elective thoracotomy under one-lung anesthesia were studied. After measurement of tracheal length from preoperative chest X-ray and of length from incisor to vocal cord during intubation, the patient was intubated with left-sided DLT to the depth of predetermined length from incisor to carina. The tube position was evaluated with fiberoptic bronchocsope.

Results: In 22 patients (88%) the DLTs were positioned satisfactorily, and in three patients it was required to reposition DLT.

Conclusions: This technique may be useful for accurate placement of DLT for the one-lung anesthesia.
Files in This Item:
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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/22282913/176295
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