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Korean J Crit Care Med > Volume 24(2); 2009 > Article
Korean Journal of Critical Care Medicine 2009;24(2): 106-110. doi: https://doi.org/10.4266/kjccm.2009.24.2.106
기관늑막루 환자의 누공 봉합술 중 발생한 의존폐의 무기폐-증례 보고-
정홍수ㆍ전연수ㆍ최진우ㆍ주진덕ㆍ김용신ㆍ김대우ㆍ인장혁ㆍ박주선
가톨릭대학교 의과대학 성빈센트병원 마취통증의학교실
Atelectasis of Dependent Lungs during Fistula Closure in a Patient with Tracheopleural Fistula: A Case Report
Hong Soo Jung, Yeon Soo Jeon, Jin Woo Choi, Jin Deok Joo, Yong Shin Kim, Dae Woo Kim, Jang Hyeok In, Joo Seon Park
Department of Anesthesiology and Pain Medicine, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. gooddoctor@catholic.ac.kr
ABSTRACT
Atelectasis is a fairly common complication in patients undergoing general anesthesia. However, atelectasis caused secretion plugs in patients with tracheopleural fistula is less common than other airway fistulas such as trachea and bronchus. Anesthesiologists should make every effort for thorough preoperative preparation to prevent atelectasis and using appropriate and aggressive treatment, including tracheal or bronchial clearing and end expiratory positive pressure. We report a case of an intraoperative occurrence of atelectasis of the lower lobe of a dependent lung in a patient with a tracheopleural fistula during single lung ventilation for primary closure.
Key Words: atelectasis; complications; tracheopleural fistula
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