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KMID : 0352120140290020036
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Journal of Kyung Hee University
2014 Volume.29 No. 2 p.36 ~ p.40
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Application of Direct Suction to the Left Bronchial Lumen of Double Lumen Tube for the Removal of Obstructing Blood Clot during One-lung Ventilation: Report of a Case
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Lim Hyun-Kyoung
Choi Chun-Gil
Song Jang-Ho
Kim Keon-Sik
Lee Doo-Ik
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Abstract
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Airway obstruction may lead to fatal ventilatory disturbance. We are unaware of any similar cases in which a blood clot, causing a total obstruction of the left main bronchus during a left upper lobectomy, was removed by direct suction to the left bronchial lumen of the double lumen tube without the tube removal. If endobronchial suctioning with suction catheter fails to evacuate the blood clot cast, and when other methods such as bronchoscopic removal or using the Fogarty catheter are either difficult to perform or unavailable, direct suctioning of the affected endobronchial lumen can be an option for removal of the blood clot, before attempting other invasive procedures like surgical removal.
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KEYWORD
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Airway obstruction, Bronchoscopy, Suction
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