마취도입중 발생한 양측긴장성기흉
Bilateral Tension Pneumothorax during Induction of Anesthesia
박철주, 전세웅,
소속 상세정보
박철주 ( ) - 가톨릭대학 의학부 마취과학교실
전세웅 ( ) - 가톨릭대학 의학부 마취과학교실
KMID : 0356919760090020035
Abstract
Inhalation anesthesia by endotracheal intubation is commonly used in current anesthetic technique. But the increased use of endotracheal tubes in inhalation anesthesia expose the patients to the consequence of increased pressure in the tracheobronchial tree sometimes to a great extent than is true of a patient in whom intubation is not done.
In addition, disposable plastic units has been introduced to obviate hazards of cross infection in anesthesia and inhalation therapy and which do not stretch after full inflation.
Pressure exceeding 250 ㎝ water may develop within seconds when the plastic units are inadvertently overfilled with gases. Such high pressures transmitted to the airways are harmful.
Immediate, prompt and adequate management of the bilateral tension pneumothorax are essential, otherwise the patient becomes rapidly fatal.
A case of bilateral tension pneumothorax, which occured due to a excessive pressure to the airway by use of disposable plastic units was reported.
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