Bilateral tension pneumothorax during endoscopic submucosal dissection under general anesthesia diagnosed by point-of-care ultrasound - A case report -
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 오석경 | - |
dc.contributor.author | Cho Seung Inn | - |
dc.contributor.author | Won Young Ju | - |
dc.contributor.author | Yun Jin Hee | - |
dc.date.accessioned | 2022-03-12T18:40:31Z | - |
dc.date.available | 2022-03-12T18:40:31Z | - |
dc.date.created | 2021-12-07 | - |
dc.date.issued | 2021 | - |
dc.identifier.issn | 1975-5171 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/138755 | - |
dc.description.abstract | Background: Endoscopic submucosal dissection has become popular. However, this can cause serious complications. In this case, esophageal perforation caused bilateral tension pneumothorax.Case: A 60-year-old man with esophageal adenoma underwent endoscopic submucosal dissection under general anesthesia. The peak airway pressure was 25 cmH2O after induction but abruptly increased to 40 cmH2O after 30 min. Respiratory sounds were barely heard. The lack of lung sliding in either (right-dominant) lung on ultrasound. Within minutes, oxygen saturation and systolic blood pressure decreased to 52% and 70 mmHg. Emergent needle thoracostomy, followed by chest tube insertion, was performed on right chest and his vital signs stabilized. Upon transfer to intensive care unit, oxygen saturation and blood pressure decreased again; therefore, a left chest tube was inserted. Conclusions: Pneumothorax due to esophageal perforation can lead to life-threatening tension pneumothorax. Anesthesiologists should be aware of the risks and emergency treatment. Ultrasound can be useful for immediate bedside patient-care decisions. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | 대한마취통증의학회 | - |
dc.title | Bilateral tension pneumothorax during endoscopic submucosal dissection under general anesthesia diagnosed by point-of-care ultrasound - A case report - | - |
dc.title.alternative | Bilateral tension pneumothorax during endoscopic submucosal dissection under general anesthesia diagnosed by point-of-care ultrasound - A case report - | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | 오석경 | - |
dc.identifier.doi | 10.17085/apm.20088 | - |
dc.identifier.bibliographicCitation | Anesthesia and Pain Medicine, v.16, no.2, pp.171 - 176 | - |
dc.relation.isPartOf | Anesthesia and Pain Medicine | - |
dc.citation.title | Anesthesia and Pain Medicine | - |
dc.citation.volume | 16 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 171 | - |
dc.citation.endPage | 176 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART002711887 | - |
dc.description.journalClass | 2 | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | Diagnostic ultrasound | - |
dc.subject.keywordAuthor | Endoscopic gastrointestinal surgical procedures | - |
dc.subject.keywordAuthor | Endoscopic mucosal resection | - |
dc.subject.keywordAuthor | General anesthesia | - |
dc.subject.keywordAuthor | Tension pneumothorax. | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.