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경부 및 종격동내 수활액낭종 절제술을 위한 기관내 삽관직후 발생한 상기도 폐쇄 -증례 보고-

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Author(s)
김인정이주영유한목견일수김진모
Keimyung Author(s)
Kim, Jin Mo
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학화지
Issued Date
1997
Volume
33
Issue
2
Abstract
Abrupt increase in the size of cervico-mediastinal tumor due to infection or spontaneous hemorrhage into cyst can induce severe tracheal compression and therefore sudden death. A 5 year old boy, who had a history of URI, had an enlarging cystic hygroma on the right side of the neck and anterior mediastinum. Under diagnosis of the cervico-mediastinal cystic hygroma, surgical removal was scheduled. After induction of anesthesia, intubation was done without any difficulty. A few minutes later, signs of partial airway obstruction were appeared. And within a very short period, total airway occlusion occurred. The tracheal tube was removed and manual ventilation was performed with positive airway pressure, but ineffective. We attempted to puncture cricothyroid membrane with 14 Gauge needle in order to ventilate manually. As soon as we puncture cricothyroid membrane, straw-colored fluid, not air, gushed out through a needle. After aspiration of about 200ml of cystic fluid, the obstructive signs disappeared and the patency of the airway was maintained. Intraoperatively, no more airway problems occured and vital signs were stable. And postoperatively, patient had no specific complications and discharged on the 7th day after operation. (Korean J Anesthesiol 1997; 33: 371∼375)
Alternative Title
Airway Obstruction Immediately after Endotracheal Intubation for Removal of Cervico-Mediastinal Cystic Hygroma - A case report -
Keimyung Author(s)(Kor)
김진모
Publisher
School of Medicine
Citation
김인정 et al. (1997). 경부 및 종격동내 수활액낭종 절제술을 위한 기관내 삽관직후 발생한 상기도 폐쇄 -증례 보고-. 대한마취과학화지, 33(2), 371–375.
Type
Article
ISSN
0302-5780
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38531
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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