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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
- 2021.1
- 수록면
- 171 - 176 (6page)
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초록· 키워드
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Background: Endoscopic submucosal dissection has become popular. However, this can cause serious complications. In this case, esophageal perforation caused bilateral tension pneumothorax.Case: A 60-year-old man with esophageal adenoma underwent endoscopic submucosal dissection under general anesthesia. The peak airway pressure was 25 cmH2O after induction but abruptly increased to 40 cmH2O after 30 min. Respiratory sounds were barely heard. The lack of lung sliding in either (right-dominant) lung on ultrasound. Within minutes, oxygen saturation and systolic blood pressure decreased to 52% and 70 mmHg. Emergent needle thoracostomy, followed by chest tube insertion, was performed on right chest and his vital signs stabilized. Upon transfer to intensive care unit, oxygen saturation and blood pressure decreased again; therefore, a left chest tube was inserted. Conclusions: Pneumothorax due to esophageal perforation can lead to life-threatening tension pneumothorax. Anesthesiologists should be aware of the risks and emergency treatment. Ultrasound can be useful for immediate bedside patient-care decisions.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Koichi Hamada / 2019 / Efficacy of Endoscopic Submucosal Dissection of Esophageal Neoplasms under General Anesthesia / Clinical Endoscopy 52(3):252~257
Yamashita K / 2016 / Efficacy and safety of endoscopic submucosal dissection under general anesthesia / World J Gastrointest Endosc 8:466~471
Song BG / 2018 / Endoscopic submucosal dissection under general anesthesia for superficial esophageal squamous cell carcinoma is associated with better clinical outcomes / BMC Gastroenterol 18:80
Lian J / 2012 / A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer / Gastrointest Endosc 76:763~770
Cao Y / 2009 / Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract / Endoscopy 41:751~757
Yamashita K / 2016 / Efficacy and safety of endoscopic submucosal dissection under general anesthesia / World J Gastrointest Endosc 8:466~471
Song BG / 2018 / Endoscopic submucosal dissection under general anesthesia for superficial esophageal squamous cell carcinoma is associated with better clinical outcomes / BMC Gastroenterol 18:80
Lian J / 2012 / A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer / Gastrointest Endosc 76:763~770
Cao Y / 2009 / Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract / Endoscopy 41:751~757
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