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KMID : 0374920100310010103
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Inje Medical Journal
2010 Volume.31 No. 1 p.103 ~ p.109
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Acute unilateral airway obstruction immediately after general anesthetic induction
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Kim Myung-Hwa
Lee Dong-Jun
Kim Moon-Chul
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Abstract
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Acute unilateral airway obstruction may be developed immediately after general anesthetic induction. Tracheal intubation is essential procedure to support lives for who is coma or undergo general anesthesia, but several complications could occur. One of these is airway obstruction immediately after endotracheal tube insertion because of bronchial mucous plug, previous aspirated foreign body, hemoptysis ect. This acute bronchial obstruction may be manifested clinically by hypoxemia, cardiovascular instability, brain damage, if more aggravated to death due to partial or complete interruption of ventilation to an lung. Therefore if endotracheal tube obstruction may occur, early detection and treatment is very critical. A 53-year-old male patient underwent acute unilateral obstruction of bronchus immediately after inserted endotracheal tube, so he revealed hypoxemia, hypotension, but smooth operation and anesthetic care was progressed overall owing to endotracheal tube suction and replacement of tube.
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KEYWORD
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airway obstruction, endotracheal tube obstruction, mucous plug
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