Anesthetic Management of Complete Tracheal Transection using Percutaneous Cardiopulmonary Support System : A case report / 대한마취과학회지

Patients with complete tracheal transection present a considerable challenge to the anesthesiologist. A 38 year-old woman with complete tracheal transection above the aortic arch level due to blunt trauma was taken to the operating room for an attempt at tracheal repair. Anesthetic management was focused on the maintenance of the airway and adequate ventilation. Primary repair of the trachea was carried out under ventilation support via percutaneous cardiopulmonary support system. Until the disrupted trachea was exposed on the surgical field, ventilation was performed using a laryngeal mask. We discuss the anesthetic management strategies and the alternative mode of ventilation.

Hydrothorax after Central Vein Catheterization for Right Internal Jugular Vein and Contralateral Reexpansion Pulmonary Edema after Right Chest Tube Insertion: A case report / 대한마취과학회지

Cannulation of a large central vein is the standard clinical method for mornitoring CVP and is also performed for a number of additional therapeutic interventions, such as providing secure vascular access for administration of vasoactive drugs or to initiate rapid fluid resuscitation in operation or for aspiration of air emboli. But there are many complications such as vessel injury, pneumothorax, nerve injury, arrhythmias, arteriovenus thrombus, pulmonary emboli, infection at insertion site, because there are major vessels, nerve and organs around of central veins. We report a case of Rt. Hydrothorax after internal jugular vein cannulation and a contralateral reexpansion pulmonary edema and pleural effusion after Rt. chest tube insertion for hydrothorax.