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Korean J Crit Care Med > Volume 27(2); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(2): 139-142. doi: https://doi.org/10.4266/kjccm.2012.27.2.139
기관협착증 환자에서 기관지경하 풍선확장술에서 초음파의 활용 -증례 보고-
부산대학교 의학전문대학원 마취통증의학교실
Ultrasound Guided Bronchoscopic Balloon Dilatation in the Management of Tracheal Stenosis: A Case Report
Jung Min Hong, Tae Kyun Kim, Ah Reum Cho, Do Won Lee, Yun Hee Han, Jae Young Kwon
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. anesktk@pusan.ac.kr
We performed a balloon dilatation without a fluoroscopy monitoring by ultrasound. A 44 year old female patient was presented with subglottic stenosis, due to prolonged intubation. Although she had undergone tracheal resection and end-to-end anastomosis, the tracheal stenosis had recurred. She was scheduled for balloon dilatation. However, fluoroscopic guidance was not available, and thus, we used ultrasonographic monitoring as an alternative method. We performed a transverse scan, just cranial to the suprasternal notch, and we obtained a real time image of the trachea dilated by the balloon. We suggest that ultrasonographic monitoring is a useful adjunct to balloon dilatation in patients with tracheal stenosis.
Key Words: balloon dilatation; tracheal stenosis; ultrasonography
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