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기관내삽관 후 막양부기관의 일시적 확장을 보인 1예 -증례 보고-

Transient Dilation of the Membranous Trachea after Endotracheal Intubation -A Case Report-

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초록

Endotracheal intubation is a quick, simple and safe procedure for airway management and is used in various medical procedures. Many endotracheal tubes have a cuff system, which prevents aspiration and allows positive pressure ventilation. However excessive inflation of the cuff can cause mucosal ischemia with tracheal dilation which may result in tracheal rupture, or even death. Fortunately, mucosal ischemia of the trachea can be treated successfully with well-timed control of cuff pressure. It is essential for medical practitioners to be aware of these complications and to be able to manage them effectively if they arise. We present a case of diverticular-like dilation of the lower trachea detected by fiberoptic bronchoscopy that eventually improved in the hemoptysis patient after endotracheal intubation.

Abstract

Endotracheal intubation is a quick, simple and safe procedure for airway management and is used in various medical procedures. Many endotracheal tubes have a cuff system, which prevents aspiration and allows positive pressure ventilation. However excessive inflation of the cuff can cause mucosal ischemia with tracheal dilation which may result in tracheal rupture, or even death. Fortunately, mucosal ischemia of the trachea can be treated successfully with well-timed control of cuff pressure. It is essential for medical practitioners to be aware of these complications and to be able to manage them effectively if they arise. We present a case of diverticular-like dilation of the lower trachea detected by fiberoptic bronchoscopy that eventually improved in the hemoptysis patient after endotracheal intubation.

참고문헌 (11)

  1. Cooper JD, "Analysis of problems related to cuffs on intratracheal tubes", Chest, 62(Suppl), pp.21S~27S (1972)
  2. Shin MS, "Tracheobronchomegaly (Mounier-Kuhn syndrome): CT diagnosis", AJR Am J Roentgenol, 150, pp.777~779 (1988)
  3. Fryer ME, "Tracheal dilatation", Anaethesia, 31, pp.470~478 (1976)
  4. Spiegel JE, "Endotracheal tube Cuffs: design and function. Anesthesiology News Guide to Airway Management", 51~58 (2010)
  5. 김현수, "고혈압 환자에서 마취유도 후 후두마스크 ProSealTM과 기관튜브 삽관 시 활력징후의 최대 변화의 비교", Korean Journal of Anesthesiology, 43(2), pp.145~149 (2002), 대한마취과학회
  6. 신중천, "아산화질소를 사용한 마취 시 기관내 삽관 기낭을 채운 리도카인의 알카리화로 인한 효과", Korean Journal of Anesthesiology, 54(4), pp.384~388 (2008), 대한마취과학회
  7. Dullenkopf A, "Nitrous oxide diffusion into tracheal tube cuffs: comparison of five different tracheal tube cuffs", Acta Anaesthesiol Scand, 48, pp.1180~1184 (2004)
  8. Atalay C, "Tracheal rupture due to diffusion of nitrous oxide to cuff of high-volume, low-pressure intubation tube", EAJM, 41, pp.136~139 (2009)
  9. Bain JA, "Observation on the use of cuffed tracheostomy tubes (with particular reference to the james tube)", Can Anaesth Soc J, 11, pp.598~608 (1964)
  10. Mullan GP, "Conservative management of a major post-intubation tracheal injury and review of current management", Eur Arch Otorhinolaryngol, 264, pp.685~688 (2007)
  11. Seegobin RD, "Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs", Br Med J (Clin Res Ed), 288, pp.965~968 (1984)

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