미숙아의 선천성 기관식도루 1예 보고
Tracheo-esophageal Fistula in a Premature Baby
송재수, 김혜경, 서병태,
소속 상세정보
송재수 ( )
국립의료원 마취과
김혜경 ( )
국립의료원 마취과
서병태 ( )
국립의료원 마취과
KMID : 0356919770100030133
Abstract
The authors have experienced a case of general anesthesia for a premature baby of congenital esophageal atresia with tracheo-esophgeal fistula, and postoperative atelectasis at right lung field. Removal of secretions, and expansion of collapsed lung intermittently durinng surgical manipulation were thought to be necessary for the prevention of post-operative lung complications.
Postural drainage with intermittent positive pressure breathing, and keeping the patient in incubator with oxygen and humidity after anesthesia was recommended.
Anesthetics which irritate the respiratory tract and increase secretion must be avoided.
Selection of proper sized endotracheal tube has been stressed to prevent traumatic intubation.
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