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KMID : 0604020140290010032
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 1 p.32 ~ p.37
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Total Unilateral Obstruction by Sputum Immediately after Tracheal Bougienage
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Kim Kyu-Nam
Jun Jong-Hun
Jeong Mi-Ae
Choi Song-Lark
Lee Young-Sun
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Abstract
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A 25-year-old man developed tracheal stenosis due to prolonged intubation for five days. Immediately after bougienage, his left lung was not possible to ventilate and emergency tracheostomy was performed to produce ample space for airflow. Fiberoptic bronchoscopy showed that his left main bronchus was totally obstructed by sputum at the entrance of the superior and inferior lobar bronchi. Inadequate airway clearance increases the risk of infection and airway obstruction. We suggest chest physiotherapy be applied to all patients in the intensive care unit (ICU), especially patients with tracheal stenosis, due to its positive impact on pulmonary functional ability and ICU stay.
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KEYWORD
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airway obstruction, tracheal stenosis
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