강화튜브 내벽융기로 인한 기도의 부분폐쇄 -증례 보고- (Partial airway obstruction due to intraluminal bulging of the inner layer of a reinforced tube −A case report−)

서지정보

· 발행기관 : 대한마취통증의학회
· 수록지 정보 : Anesthesia and Pain Medicine / 4권 / 1호 / 68 ~ 70페이지
· 저자명 : 박상희, 신영덕

초록

Intraoperative airway obstruction is usually manifested as high peak
inflation pressures and decreased exhaled tidal volume. The
simultaneous occurrence of increased peak inflation pressure and
unchanging plateau pressure generally indicates a mechanical
obstruction of the tracheal tube. We experienced a reinforced tube
obstruction after intraluminal bulging of the tube. A 59 year-old
woman was scheduled for a neck mass excision and ventral hernia
repair. The patient was intubated with a 7.0 mm new reinforced
tube without any problems. Three hours later, signs of airway
obstruction presented, and passage of a suction catheter failed.
Examination with the naked eye showed a partial obstruction by
intraluminal bulging of the inner layer of the tube. We report this
case of partial airway obstruction with a reinforced tube.

영어초록

Intraoperative airway obstruction is usually manifested as high peak
inflation pressures and decreased exhaled tidal volume. The
simultaneous occurrence of increased peak inflation pressure and
unchanging plateau pressure generally indicates a mechanical
obstruction of the tracheal tube. We experienced a reinforced tube
obstruction after intraluminal bulging of the tube. A 59 year-old
woman was scheduled for a neck mass excision and ventral hernia
repair. The patient was intubated with a 7.0 mm new reinforced
tube without any problems. Three hours later, signs of airway
obstruction presented, and passage of a suction catheter failed.
Examination with the naked eye showed a partial obstruction by
intraluminal bulging of the inner layer of the tube. We report this
case of partial airway obstruction with a reinforced tube.

참고자료

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