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KMID : 0352120160310010022
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Journal of Kyung Hee University
2016 Volume.31 No. 1 p.22 ~ p.26
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Complete Transection of a Silicon Double Lumen Tube during the Process of Extubation - A Case Report -
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Han Myeong-Jae
Lee Byung-Sang
Chun Duk-Hee
Kim Sun-Ok
Yang Hyeon-Jeong
Shin Dong-Wook
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Abstract
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The frequency of use of silicon material double lumen tube (DLT) in one-lung ventilation anesthesia is increasing because of its several advantages over the existing usual polyvinyl chloride (PVC) DLT such as softer material and less frequency of malposition or displacement due to its structural characteristics. However, we recently experienced an unexpected and potentially disastrous event of complete transection of the distal bronchial portion of this tube during the process of emergence from anesthesia. Here, we report a case to contemplate the association of this event with the structural vulnerability of this tube which may be related to the characteristic process of manufacturing of the tube and describe some methods to prevent reoccurrence of the same event.
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KEYWORD
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Biting, Double Lumen Tube, Silicon, Transection
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