Patient repositioning and the amelioration of airway obstruction by an anterior mediastinal tumor during general anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 206-209, 2010.
Artigo
em Inglês
| WPRIM
| ID: wpr-115114
ABSTRACT
An 18-year-old male with huge anterior mediastinum mass was scheduled for thoracotomic incisional biopsy under general anesthesia after failed fluoroscopy-guided percutaneous needle biopsy. Under propofol and succinylcholine anesthesia, intubation was successfully achieved using a Univent tube. However, when we changed the patient's position from supine to right lateral decubitus, oxygen saturation declined. He was then positioned supine, but hypoxemia did not improve. Because the tumor expanded toward the left thoracic field, we considered that the left lateral decubitus position might help relieve the mass effect on the main bronchus. His position was changed accordingly and soon after, hypoxemia improved and surgery was undertaken under cardiopulmonary bypass (CPB). The biopsy was successfully performed under CPB without complication.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oxigênio
/
Postura
/
Ressuscitação
/
Succinilcolina
/
Biópsia
/
Biópsia por Agulha
/
Brônquios
/
Ponte Cardiopulmonar
/
Propofol
/
Obstrução das Vias Respiratórias
Limite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2010
Tipo de documento:
Artigo
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