전신마취 후 칼드웰럭씨 수술을 통한 extubation 시행시 발생한 급성 폐부종:

• 영문명: ACUTE PULMONARY EDEMA CAUSED BY IMPAIRED SWITCHING FROM NASAL TO ORAL BREATHING DURING THE CALDWELL-LUC OPERATION RESULTING FROM ANESTHESIA: A CASE REPORT
• 발행기관: 대한구강악안면외과학회
• 저자명: 오민석(Min-Seok Oh) 김수관(Su-Gwan Kim)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제32권 제2호, 157~160쪽, 전체 4쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2006.04.30

영문 초록

Nasotracheal intubation is performed routinely in maxillofacial surgery to optimize visualization of the surgical field. The CaldwellLuc operation is an approach to the maxillary sinus through the labiogingival sulcus and canine fossa. The operation is used to treat chronic maxillary sinusitis, and involves curettage of the mucosa of the maxillary sinus and the creation of an inferior meatal antrostomy. After the operation, a nasal Foley catheter is inserted into the inferior nasal meatus for the discharge of blood and tissue fluid. Then, the nostril is packed with vaseline gauze. Before the patients awaken, they experience impaired switching from nasal to oral breathing. Pulmonary edema can result from excessive negative intrathoracic pressure caused by acute airway obstruction in patients breathing spontaneously. During anesthesia and sedation, airway obstruction can occur at the levels of the pharynx and larynx. Even in patients who are awake, alteration in the ability to change the breathing route from nasal to oral may affect breathing in the presence of an airway obstruction, causing this catastrophic event. We experienced a case in which acute pulmonary edema resulted from acute airway obstruction triggered by the patient’s inability to switch the breathing route from nasal to oral during emergence from anesthesia.

키워드

Intubation Caldwell-Luc operation Pulmonary edema