지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 170 - 171 (2page)
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초록· 키워드
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Tracheal rupture is a potentially lethal complication of endotracheal intubation [1-3] and usually occurs shortly after intubation [4]. Such rupture presents as a linear tear and is caused by movement of an over-inflated cuff or stylet [5]. Herein, we describe a case of pneumothorax caused by tracheal rupture after 30 days of intubation. A previously healthy 8-year-old boy was admitted to the pediatric intensive care unit for severe acute respiratory distress syndrome. The patient was treated with mechanical ventilation and extracorporeal membrane oxygenation. Cuff pressure was managed between 20 to 30 cm H 2 O, and the endotracheal tube was not changed before extubation. On hospital day 30, extubation was perfomred, and spontaneous breathing was noted. On the same day, massive pneumothorax was developed and was not controlled by chest tubes. Computed tomography showed a new lesion on the trachea (Figure 1), and bronchoscopy showed an oval ischemic lesion surrounded by a Cshaped tear (Figure 2). Since the position and size of the ischemic lesion were similar to those of the cuff, we suspected that prolonged cuff pressure created ischemia, and active breathing tore the weak margin. Managing cuff pressure in children requires high caution, and suspicion of tracheal rupture should be considered as a cause of pneumothorax.
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참고문헌 (5)
참고문헌 신청
Hofmann HS / 2002 / Iatrogenic ruptures of the tracheobronchial tree / Eur J Cardiothorac Surg 21:649~652
Schneider T / 2007 / Management of iatrogenic tracheobronchial injuries : a retrospective analysis of 29 cases / Ann Thorac Surg 83:1960~1964
Minambres E / 2009 / Tracheal rupture after endotracheal intubation : a literature systematic review / Eur J Cardiothorac Surg 35:1056~1062
Jabre P / 2011 / Morbidity related to emergency endotracheal intubation : a substudy of the KETAmine SEDation trial / Resuscitation 82:517~522
임형선 / 2012 / Tracheal rupture after endotracheal intubation - A report of three cases - / Korean Journal of Anesthesiology 62(3):277~280
Schneider T / 2007 / Management of iatrogenic tracheobronchial injuries : a retrospective analysis of 29 cases / Ann Thorac Surg 83:1960~1964
Minambres E / 2009 / Tracheal rupture after endotracheal intubation : a literature systematic review / Eur J Cardiothorac Surg 35:1056~1062
Jabre P / 2011 / Morbidity related to emergency endotracheal intubation : a substudy of the KETAmine SEDation trial / Resuscitation 82:517~522
임형선 / 2012 / Tracheal rupture after endotracheal intubation - A report of three cases - / Korean Journal of Anesthesiology 62(3):277~280
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