본문 바로가기
KERD
논문KCI 등재

Barotrauma after Manual Ventilation in a Patient with Life-Threatening Massive Hemoptysis

Seok Chan Kim|Hea Yon Lee|Yu Young Joo|Young Seung Oh|Yoo Rim Seo|Hyon Soo Joo|Chin Kook Rhee
대한중환자의학회 (The Korean Society Of Critical Care Medicine)|2015.11|Acute and Critical Care|제30권 제4호|pp. 308-312

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

ventilationhemoptysisairway obstructionbarotrauma

초록

A 36-year-old female patient with aplastic anemia developed massive hemoptysis and was placed on ventilator support. However, airway obstruction by blood clots triggered desaturation and ventilator malfunction. Manual ventilation was initiated to improve oxygenation, and emergency flexible bronchoscopy was performed to clear the airway. Nevertheless, the patient developed extensive subcutaneous emphysema, pneumothorax, and pneumomediastinum.

Abstract

A 36-year-old female patient with aplastic anemia developed massive hemoptysis and was placed on ventilator support. However, airway obstruction by blood clots triggered desaturation and ventilator malfunction. Manual ventilation was initiated to improve oxygenation, and emergency flexible bronchoscopy was performed to clear the airway. Nevertheless, the patient developed extensive subcutaneous emphysema, pneumothorax, and pneumomediastinum.

참고문헌 (11)

  1. Ricard JD, "Manual ventilation and risk of barotrauma:primum non nocere", Respir Care, 50, pp.338~339 (2005)
  2. Denehy L, "The use of manual hyperinflation in airway clearance", Eur Respir J, 14, pp.958~965 (1999)
  3. López Rodríguez A, "Pneumoperitoneum associated with manual ventilation using a bag-valve device", Acad Emerg Med, 2, pp.944~ (1995)
  4. 김종분, "Barotrauma developed during intra-hospital transfer -A case report-", Korean Journal of Anesthesiology, 59, pp.218~221 (2010), 대한마취통증의학회
  5. Macklin MT, "Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the clinical literature in the light of laboratory experiment", Medicine, 23, pp.281~358 (1944)
  6. Gammon RB, "Pulmonary barotrauma in mechanical ventilation. Patterns and risk factors", Chest, 102, pp.568~572 (1992)
  7. Turki M, "Peak pressures during manual ventilation", Respir Care, 50, pp.340~344 (2005)
  8. McCarren B, "Manual hyperinflation: a description of the technique", Aust J Physiother, 42, pp.203~208 (1996)
  9. Windsor HM, "Bag squeezing : a physiotherapeutic technique", Med J Aust, 2, pp.829~832 (1972)
  10. Redfern J, "The use of a pressure manometer enhances student physiotherapists’ performance during manual hyperinflation", Aust J Physiother, 47, pp.121~131 (2001)
  11. Patman S, "Manual hyperinflation:consistency and modification of the technique by physiotherapists", Physiother Res Int, 6, pp.106~117 (2001)

관련 논문AI추천

Extracorporeal Membrane Oxygenation as a Rescue Therapy in a Patient with Non-Iatrogenic Massive Hemoptysis김수완, 김이현, 이종후대한중환자의학회 · Acute and Critical Care2013 · 제28권 제3호Retrieval of a tracheobronchial blood clot with a Yankauer suction catheter in complete airway obstructionGaurav Jain, Girish Sindhwani, Lokesh Kumar Saini, Namrata Gupta, Sharad Kaushik대한중환자의학회 · Acute and Critical Care2021 · 제36권 제1호Clinical Characteristics of the Development of Pneumothorax in Mechanically Ventilated Patients in Intensive Care Units김경영, 김완철, 김호철, 박미정, 이승준, 이종덕, 임수진, 전경녀, 정이영, 조유지, 황영실대한중환자의학회 · Acute and Critical Care2014 · 제29권 제1호A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus권희연, 김세은, 윤수지, 이한나, 추현정대한중환자의학회 · Acute and Critical Care2017 · 제32권 제1호A Rare Case of Massive Hemothorax due to Central Venous Catheterization Treated with Angiographic Stent Implantation배정민대한중환자의학회 · Acute and Critical Care2015 · 제30권 제1호Total Unilateral Obstruction by Sputum Immediately after Tracheal Bougienage김규남, 이영선, 전종헌, 정미애, 최성락대한중환자의학회 · Acute and Critical Care2014 · 제29권 제1호

이 간행물의 다른 논문 (21건)

Sepsis in Immunocompromised Patients: Current Status in Korea이광하pp. 239-240Experience with Elizabethkingia meningoseptica Infection in Adult Patients at a Tertiary Hospital김도형, Sung Hyeok Ryou, M.D., Sun Young Ann, 주현돈, 김종완, 김윤섭pp. 241-248Sepsis in Patients Receiving Immunosuppressive Drugs in Korea: Analysis of the National Insurance Database from 2009 to 2013Seung-Young Oh, Ho-Geol Ryu, Songhee Cho, 장은진, Hannah Lee, Se Hee Minpp. 249-257The Prognostic Factors of Pneumonia with Septic Shock in Patients Presenting to the Emergency DepartmentSang Hyun Han, 김진주, 황인철, 조진성, 임용수, 양혁준, Jong Won Kimpp. 258-264Brain Magnetic Resonance Imaging in Patients with Favorable Outcomes after Out-of-Hospital Cardiac Arrest: Many Have Encephalopathy Even with a Good Cerebral Performance Category ScoreWoo Sung Choi, 양혁준, 김진주pp. 265-271
원문 보기