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
- 2015.1
- 수록면
- 223 - 226 (4page)
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초록· 키워드
오류제보하기
During mechanical ventilation in the intensive care unit, auto-positive end-expiratory pressure (auto-PEEP) has been reported to occur in obstructive airway conditions aggravated by inappropriate ventilator settings. In this paper, we report a case of auto-PEEP-like problem during anesthesia, mainly caused by excessive sputum. After being positioned prone for spine surgery, the patient received pressure controlled ventilation at a low fresh gas flow rate. One hour after the start of surgery, sudden decreases in pressure and flow occurred. The typical maneuvers which could be performed by the anesthesiologists in the situations suggesting leakage within the breathing circuit consist of pressing the oxygen flush valve and manual hyperventilation for the initial evaluation. But from our experience in this case, we have learned that such maneuvers could cause unacceptable aggravation in the event of auto-PEEP. Also in this report, we discuss the difficulties in prediction based on the present knowledge of preoperative evaluation and the presumably best management policy regarding this type of auto-PEEP.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Mughal MM / 2005 / Auto-positive end-expiratory pressure : mechanisms and treatment / Cleve Clin J Med 72:801~809
Ranieri VM / 1996 / Auto-positive end-expiratory pressure and dynamic hyperinflation / Clin Chest Med 17:379~394
Laghi F / 2012 / Auto-PEEP in respiratory failure / Minerva Anesthesiol 78:201~221
An TH / 2003 / Mechanical ventilation in patients with chronic obstructive pulmonary disease / Korean J Crit Care Med 18:67~73
정미영 / 2011 / Airway obstruction in heat & moisture exchanger filter -A case report- / Anesthesia and Pain Medicine 6(1):96~99
Ranieri VM / 1996 / Auto-positive end-expiratory pressure and dynamic hyperinflation / Clin Chest Med 17:379~394
Laghi F / 2012 / Auto-PEEP in respiratory failure / Minerva Anesthesiol 78:201~221
An TH / 2003 / Mechanical ventilation in patients with chronic obstructive pulmonary disease / Korean J Crit Care Med 18:67~73
정미영 / 2011 / Airway obstruction in heat & moisture exchanger filter -A case report- / Anesthesia and Pain Medicine 6(1):96~99
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