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체위변동에 따른 이중관 기관지 튜브의 위치이동에 관한 연구

Other Titles
 Movement of Double-lumen Endobronchial Tubes Druing Position Change 
Authors
 이광호  ;  임현경  ;  윤경봉  ;  엄대자  ;  임현고 
Citation
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.27(9) : 1164-1168, 1994-09 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
ISSN
 0302-5780 
Issue Date
1994-09
Keywords
Double lumen endobronchial tube ; Fiberoptic bronchoscope ; One lung anesthesia
Abstract
Accurate placernent of double-lumen endobronchial tube is essential for successful one lung anesthesia. We studied 58 adult patients (38 males and 20 females) undergoing thoracic surgery under one lung anesthesia.
We used the fiberoptic bronchoscope as an introducer over which the double lumen tube was advanced under direct vision.
Correct position of the left side double-lumen endobronchial tube at supine position was determined by direct vision of cephalad surface of the bright blue bronchial cuff immediately below the carina.
Correct position of the right side double lumen endobronchial tube at supine position was determined by direct vision of the right upper lobe bronchial orifice through the right upper labe ventilation slot. After the patient was repositioned, the position of the double lumen endobronchial tube was rechecked by fiberoptic bronchoscope.
The results were as follows;
1) There was a significant correlation of correct depth of left and right double lumen endobronchial tube at supine position with height for both male and female patients.
2) Left side double lumen endobronchial tube: 58% of total cases (20 Case of 38 Case) were displaced by turning of the patient from supine to the lateral decubitus position.
3) Right side double lumen endobronchial tube: 65% of total cases (13 Case of 20 Case) were displaced by turning of the patient from supine to the lateral decubitus position.
Files in This Item:
T199400266.pdf Download
DOI
10.4097/kjae.1994.27.9.1164
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/22282913/194865
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