선천성 엽성 기종을 가진 소아에서 일측 폐 환기의 마취관리

• 영문명: The Anesthetic Management of One-Lung Ventilation in a Pediatric Patient with Congenital Lobar Emphysema
• 발행기관: 조선대학교 의학연구원
• 저자명: 박천희(Cheon Hee Park) 박홍찬(Hong Chan Park) 안상순(Sang Soon An) 임용석(Yong Seok Lim) 박대일(Dae Il Park)
• 간행물 정보: 『The Medical Journal of Chosun University』제39권 제4호, 272~275쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.12.31

영문 초록

We experienced an 18-month-old patient with congenital lobar emphysema who underwent one-lung ventilation. With consideration that positive pressure ventilation could induce cardiopulmonary distress, induction was performed with spontaneous breathing using sevoflurane without neuromuscular blocking agent. Bronchospasm occurred after intubation and position change, twice. He was relieved by administration of neuromuscular blocking agents. We discussed induction methods with minimal positive-pressure ventilation and the treatments for bronchospasm.

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키워드

One-lung ventilation Congenital lobar emphysema Positive-pressure ventilation Bronchospasm Neuromuscular blocking agents