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KMID : 0356920070520040484
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Korean Journal of Anesthesiology
2007 Volume.52 No. 4 p.484 ~ p.486
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Tension Pneumothorax following the Insertion of a Stainless Steel Bar in Patients undergoing the Pectus Excavatum Repair by the Nuss Procedure ?A case report?
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Kang Kyu-Sik
Yoo Sie-Hyeon
Chung Jin-Hun
Kim Nan-Seol
Ahn Ki-Ryang
Kim Chun-Sook
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Abstract
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Nuss procedure was recently introduced, because of its excellent effect from the cosmetic point of view and improvement of the pulmonary function, but the complications such as heart injury, bar displacement, hemothorax, pneumothorax and tension pneumothorax sometimes occur. We experienced a 12 year-old female, who showed profound hypotension with a bradycardia and severe reduction in oxygen saturation followed by the tension pneumothorax after the operation by the Nuss method. The patient was treated with the immediate thoracostomy and recovered without any other problem. In anesthetic management of the pectus excavatum repair by the Nuss method, we should always pay attention to the possible occurrence of tension pneumothorax. (Korean J Anesthesiol 2007; 52: 484∼6)
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KEYWORD
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Nuss method, pectus excavatum, tension pneumothorax
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