|
KMID : 0356019920070010057
|
|
Koean Jounral of Critical Care Medicine
1992 Volume.7 No. 1 p.57 ~ p.61
|
|
|
Atelectasis during General Anesthesia in the Low Birth Weight Infant
|
|
|
|
|
Abstract
|
|
|
Displacement of the tube with head movement and insecured fixation is mostly in infants because of the flexibility of the neck and the smaller length of trachea involved. If the tip lies in the lower trachea, it may be advanced into a mainstem
bronchus.
Such an event may not be identified easily during operation.
We present a case of atelectasis which developed during general anesthesia for pyloroplasty in the very low birth weight infant(960 g).
On arrival of intensive care unit with a tracheal tube in place, cyanosis and chest retraction were noticed. Chest auscultation and palpating patient's chest suggested endobrochial intubation. Atelectasis due to right mainstem intubation was
confirmed
by chest X-ray. Endobronchial tube was withdrawn slowly to a position where breathsounds can be heard equally, and then manual ventilation with ambu bag was applied for 30 minutes.
Follow-up chest X-ray showed that previous atelectatic area was restored.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|