KMID : 1155520090040010032
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Anesthesia and Pain Medicine 2009 Volume.4 No. 1 p.32 ~ p.35
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Difficult mechanical ventilation and hemodynamic caused by a main bronchial tumor : A case report
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Jung Hoon
Park Sung-Sik
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Abstract
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Unidirectional obstruction of a bronchus from any cause results in hyperinflation or atelectasis of the distal area. We experienced a patient that showed expiratory airway obstruction and this was caused by check-valve mechanism of bronchial tumor during anesthetic induction for spine surgery. A 60-year-old-man, who had left hilar lung cancer, entered the operating room to undergo spine surgery for metastatic tumor. Immediately after intubation, the patient¡¯s breathing sounds were not heard at the left lung field, and the patient displayed severe hemodynamic instability. The chest X-ray showed hyperinflation of the left lung with mediastinal shifting to the right side. With spontaneous recovery of the patient¡¯s self-ventilation, the vital signs returned to normal. Three days later, the operation was performed successfully under spinal anesthesia.
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KEYWORD
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airway obstruction, check-valve mechanism, lung cancer.
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