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KMID : 1148020140390040272
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조선대학교의대논문집
2014 Volume.39 No. 4 p.272 ~ p.275
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The Anesthetic Management of One-Lung Ventilation in a Pediatric Patient with Congenital Lobar Emphysema
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Park Choon-Hee
Park Hong-Chan
An Sang-Soon
Lim Yong-Seok
Park Dae-Il
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Abstract
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We experienced an 18-month-old patient with congenital lobar emphysema who underwent one-lung ventilation. With consideration that positive pressure ventilation could induce cardiopulmonary distress, induction was performed with spontaneous breathing using sevoflurane without neuromuscular blocking agent. Bronchospasm occurred after intubation and position change, twice. He was relieved by administration of neuromuscular blocking agents. We discussed induction methods with minimal positive-pressure ventilation and the treatments for bronchospasm.
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KEYWORD
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One-lung ventilation, Congenital lobar emphysema, Positive-pressure ventilation, Bronchospasm, Neuromuscularlar blocking agents
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