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
- 저널정보
- 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.4 No.1
- 발행연도
- 2021.1
- 수록면
- 59 - 62 (4page)
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초록· 키워드
오류제보하기
Intraoperative lung collapse is a rarely reported but potentially life-threatening event. We report an unusual case of hemodynamic instability secondary to collapse of the dependent lung. A 76-year-old man was scheduled for right laparoscopic nephroureterectomy. The anesthetized patient was placed in the left lateral position, and the kidney rest beneath iliac crest was elevated. Bilateral breath sounds were confirmed with auscultation. At 40 min after pneumoperitoneum, profound hypotension and high degree atrioventricular block occurred suddenly without desaturation. The operation stopped, and the patient was turned to supine position promptly. Then, blood pressure and electrocardiogram became normal. The chest x-ray showed the left lung collapse with proper position of endotracheal tube. We suspect that the tube moved gradually close to or into the main bronchus of nondependent lung after elevation of the kidney rest and/or pneumoperitoneum. Dynamic hyperinflation of nondependent lung might be the cause of hemodynamic instability.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Pivalizza EG / 1994 / Acute life-threatening intraoperative atelectasis / Can J Anaesth 41:857~860
Samuels SI / 1989 / Profound intraoperative atelectasis / Br J Anaesth 62:216~218
Hedenstierna G / 2010 / Mechanisms of atelectasis in the perioperative period / Best Pract Res Clin Anaesthesiol 24:157~169
Mackenzie M / 2003 / Repeated inadvertent endobronchial intubation during laparoscopy / Br J Anaesth 91:297~298
오세철 / 2011 / Delayed hypoxemia due to endobronchial intubation as a result of positioning the patient under general anesthesia -A case report- / Anesthesia and Pain Medicine 6(1):63~66
Samuels SI / 1989 / Profound intraoperative atelectasis / Br J Anaesth 62:216~218
Hedenstierna G / 2010 / Mechanisms of atelectasis in the perioperative period / Best Pract Res Clin Anaesthesiol 24:157~169
Mackenzie M / 2003 / Repeated inadvertent endobronchial intubation during laparoscopy / Br J Anaesth 91:297~298
오세철 / 2011 / Delayed hypoxemia due to endobronchial intubation as a result of positioning the patient under general anesthesia -A case report- / Anesthesia and Pain Medicine 6(1):63~66
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