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
- 2018.1
- 수록면
- 149 - 153 (5page)
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초록· 키워드
오류제보하기
Progressive multifocal leukoencephalopathy (PML) is a demyelinating central nervous system disease characterized by neurological deficits, including cognitive impairment, altered mental status, and muscle spasticity. Preoperative evaluation and intraoperative airway management of the airway is difficult in patients with this disease. In this report, the authors describe a 62-year-old man with PML and spastic hemiparesis, who was scheduled for video-assisted thoracic bullectomy under general anesthesia. A preoperative airway evaluation, including Mallampati classification, could not be performed due to lack of patient cooperation. Additionally, the anesthesiologist did not perform diverse physical assessments of the airway or prepare an adequate airway management strategy. During induction of general anesthesia, difficulty with intubation was encountered because of limited mouth opening. This case emphasizes that anesthesiologists should have thorough knowledge of airway assessment and management strategies, and perform a comprehensive assessment to implement appropriate airway management in patients with this disease.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Tan CS / 2010 / Progressive multifocal leukoencephalopathy and other disorders caused by JC virus: clinical features and pathogenesis / Lancet Neurol 9:425~437
Asensi V / 1999 / Successful intrathecal ethanol block for intractable spasticity of AIDS-related progressive multifocal leukoencephalopathy / Spinal Cord 37:450~452
Ji-Sung Nho / 2011 / Anesthetic management of an adult patient with Rett syndrome and limited mouth opening -A case report- / Korean Journal of Anesthesiology 61(5):428~430
Berger JR / 2013 / PML diagnostic criteria: consensus statement from the AAN Neuroinfectious Disease Section / Neurology 80:1430~1438
Gupta S / 2005 / Airway assessment: predictors of difficult airway / Indian J Anaesth 49:257~262
Asensi V / 1999 / Successful intrathecal ethanol block for intractable spasticity of AIDS-related progressive multifocal leukoencephalopathy / Spinal Cord 37:450~452
Ji-Sung Nho / 2011 / Anesthetic management of an adult patient with Rett syndrome and limited mouth opening -A case report- / Korean Journal of Anesthesiology 61(5):428~430
Berger JR / 2013 / PML diagnostic criteria: consensus statement from the AAN Neuroinfectious Disease Section / Neurology 80:1430~1438
Gupta S / 2005 / Airway assessment: predictors of difficult airway / Indian J Anaesth 49:257~262
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