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Keimyung Medical Journal 1990;9(2):263-268.
Profound Atelectasis During Pneumonectomy
좌전폐적출술중 발생한 심한 무기폐
최규택; 김명한; 전재규
Abstract
Pulmonary atelectasis is a common complication following surgery under general anesthesia It is well documented for the anesthetic procedure to incur diffuse microatelectasis However profound pulmonary collapse are rare Total or segmental lung collapses are usually resulted from the obstruction of bronchial pathway by secretions such as mucus; blood and pus etc We had a case of profound atelectasis developed during the left pneumonectomy of bronchiectasis Secretions with copious pus was noticed which the lungs were surgically manipulated and vigorous suction through the endotracheal tube was carried out However a spillage of pus into the dependent lung could not be prevented We assumed that the cause of the atelectasis was an obstruction of the left bronchus by pus drained from the surgical lesions With a conventional single-lumen endotracheal tube it is very difficult to separate two lungs and prevent a spillage of pus into a healthy dependent lung Therefore we recommend the use a double-lumen tube to prevent such a complication and also facilitate better surgical field
Key Words: atelectasis, pneumonectomy, endotracheal tube double-lumen tube
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