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KMID : 0604020150300040308
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Korean Journal of Critical Care Medicine
2015 Volume.30 No. 4 p.308 ~ p.312
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Barotrauma after Manual Ventilation in a Patient with Life-Threatening Massive Hemoptysis
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Lee Hea-Yon
Joo Yu-Young
Oh Young-Seung
Seo Yoo-Rim
Joo Hyon-Soo
Kim Seok-Chan
Rhee Chin-Kook
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Abstract
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A 36-year-old female patient with aplastic anemia developed massive hemoptysis and was placed on ventilator support. However, airway obstruction by blood clots triggered desaturation and ventilator malfunction. Manual ventilation was initiated to improve oxy-genation, and emergency flexible bronchoscopy was performed to clear the airway. Nevertheless, the patient developed extensive subcutaneous emphysema, pneumothorax, and pneumomediastinum.
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KEYWORD
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airway obstruction, barotrauma, hemoptysis, ventilation
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