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KMID : 0356920130650060578
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Korean Journal of Anesthesiology
2013 Volume.65 No. 6 p.578 ~ p.582
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Rapid identification of spontaneously resolving capnothorax using bedside M-mode ultrasonography during laparoscopic surgery: the "lung point" sign -two cases report-
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Jang Dong-Min
Seo Hyung-Seok
Park Ji-Hyun
Lee Byung-Doo
Song Jun-Gol
Hwang Gyu-Sam
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Abstract
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Pneumothorax during general anesthesia is more difficult to diagnose compared with that of non-anesthetized patient. Furthermore, the early diagnosis of pneumothorax is to some extent difficult due to CO2-pneumoperitoneum during laparoscopic surgery. The use of ultrasonography to diagnose pneumothorax has increased in a variety of situations, demonstrating a better diagnostic rate than conventional chest radiography. Here, we report two cases of intraoperative capnothorax that were confirmed using the M-mode "lung point" sign. However, the insertion of a chest tube could have been avoided because the spontaneous resolution of capnothorax was quickly identified using bedside lung ultrasonography.
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KEYWORD
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Laparoscopy, Pneumothorax, Ultrasonography
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