Management of traumatic pneumothorax with massive air leakage: Role of a bronchial blocker: A case report
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, D.K. | - |
dc.contributor.author | Lim, S.H. | - |
dc.contributor.author | Lim, B.G. | - |
dc.contributor.author | Kang, S.W. | - |
dc.contributor.author | Kim, H. | - |
dc.date.accessioned | 2021-09-05T15:58:49Z | - |
dc.date.available | 2021-09-05T15:58:49Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/100734 | - |
dc.description.abstract | Massive air leakage through a lacerated lung produces inadequate ventilation and hypoxemia. Tube exchange from a single to double lumen endotracheal tube (DLT), and lung separation to maintain oxygenation, are challenging for seriously injured patients. In this case report, we aim to describe how a bronchial blocker (BB) makes it easier to perform a lung separation in this situation; it also increases the overall safety of the procedure. A 35-year-old female (163 cm, 47 kg) suffered from blunt chest trauma due to a traffic accident; the accident caused right-sided lung laceration with massive air leakage. Paradoxically, positive ventilation worsened SaO2 and leakage increased through a chest tube. We introduced BB while the patient was still awake: Left-side one-lung ventilation (OLV) was established and anesthesia was induced. After PaO2 was maximized with OLV, we changed the endotracheal tube to DLT without a hypoxic event. By BB placement, we maintained PaO2 at a secure level, conducted mechanical ventilation and exchanged the tube without deterioration. © the Korean Society of Anesthesiologists, 2014. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | Korean Society of Anesthesiologists | - |
dc.subject | adult | - |
dc.subject | Article | - |
dc.subject | blood gas analysis | - |
dc.subject | bronchial blocker | - |
dc.subject | case report | - |
dc.subject | computer assisted tomography | - |
dc.subject | endotracheal tube | - |
dc.subject | female | - |
dc.subject | fiberoptic bronchoscopy | - |
dc.subject | human | - |
dc.subject | lung injury | - |
dc.subject | one lung ventilation | - |
dc.subject | oxygen saturation | - |
dc.subject | pneumothorax | - |
dc.subject | positive end expiratory pressure | - |
dc.subject | thoracotomy | - |
dc.subject | thorax blunt trauma | - |
dc.subject | thorax radiography | - |
dc.title | Management of traumatic pneumothorax with massive air leakage: Role of a bronchial blocker: A case report | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, D.K. | - |
dc.contributor.affiliatedAuthor | Lim, S.H. | - |
dc.contributor.affiliatedAuthor | Lim, B.G. | - |
dc.contributor.affiliatedAuthor | Kim, H. | - |
dc.identifier.doi | 10.4097/kjae.2014.67.5.354 | - |
dc.identifier.scopusid | 2-s2.0-84914169831 | - |
dc.identifier.bibliographicCitation | Korean Journal of Anesthesiology, v.67, no.5, pp.354 - 357 | - |
dc.relation.isPartOf | Korean Journal of Anesthesiology | - |
dc.citation.title | Korean Journal of Anesthesiology | - |
dc.citation.volume | 67 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 354 | - |
dc.citation.endPage | 357 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001929031 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordPlus | adult | - |
dc.subject.keywordPlus | Article | - |
dc.subject.keywordPlus | blood gas analysis | - |
dc.subject.keywordPlus | bronchial blocker | - |
dc.subject.keywordPlus | case report | - |
dc.subject.keywordPlus | computer assisted tomography | - |
dc.subject.keywordPlus | endotracheal tube | - |
dc.subject.keywordPlus | female | - |
dc.subject.keywordPlus | fiberoptic bronchoscopy | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | lung injury | - |
dc.subject.keywordPlus | one lung ventilation | - |
dc.subject.keywordPlus | oxygen saturation | - |
dc.subject.keywordPlus | pneumothorax | - |
dc.subject.keywordPlus | positive end expiratory pressure | - |
dc.subject.keywordPlus | thoracotomy | - |
dc.subject.keywordPlus | thorax blunt trauma | - |
dc.subject.keywordPlus | thorax radiography | - |
dc.subject.keywordAuthor | Bronchial blocker | - |
dc.subject.keywordAuthor | One-lung ventilation | - |
dc.subject.keywordAuthor | Pneumothorax | - |
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