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전신마취 후 발생한 상부기도폐쇄로 인한 급성 폐부종 - 증례보고 -

Postobstructive Pulmonary Edema - A Case Report -

경희의학 2019년 34권 1호 p.60 ~ 64
김소연 ( Kim So-Yeon ) - 경희대학교 의과대학 마취통증의학교실

김건식 ( Kim Keon-Sik ) - 경희대학교 의과대학 마취통증의학교실
김영순 ( Kim Young-Soon ) - 경희대학교 의과대학 마취통증의학교실

Abstract


Upper airway obstruction is one of the serious complications that can occur after general anesthesia, and can also cause acute pulmonary edema if excessive negative pressure develops in the lungs. We report a case of postobstructive pulmonary edema after laryngospasm that occurred during the emergence from general anesthesia. When the laryngospasm occurs, positive pressure ventilation with 100% oxygen is the most important management. Intravenous administration of propofol or succinylcholine may help to treat laryngospasm. Most cases of postobstructive pulmonary edema are alleviated without sequelae within 24 hours, but acute lung injury or death is also reported and requires careful observation.

키워드

Postobstructive pulmonary edema; Laryngospasm; Airway obstruction
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