쇄골하 정맥도관이 거치된 환자에서 양압환기후 발생한 지연성 긴장성 기흉 - 증례 보고

Pneumothorax is the most common complication after central venous catheterization and routinely assessed by a chest X-ray within 4 hours after catheter placement. The diagnosis of pneumothorax may be delayed for hours or days because of minimal clinical symptoms or radiologic signs on initial evalua...

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Published inKorean journal of anesthesiology Vol. 34; no. 3; pp. 660 - 664
Main Authors 최영순, Young Soon Choi, 임옥환, Ok Hwan Lim, 양미경, Mi Kyung Yang, 정익수, Ik Soo Chung, 김유홍, You Hong Kim
Format Journal Article
LanguageKorean
Published 대한마취통증의학회(구 대한마취과학회) 30.03.1998
Subjects
catheters
central venous
Complications
delayed tension pneumothorax. Equipment
positive airway
pulmonary
subclavian vein. Ventilation
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Summary:Pneumothorax is the most common complication after central venous catheterization and routinely assessed by a chest X-ray within 4 hours after catheter placement. The diagnosis of pneumothorax may be delayed for hours or days because of minimal clinical symptoms or radiologic signs on initial evaluation. Pneumothorax may progress to tension pneumothorax after positive-pressure ventilation with a potentially fetal outcome. We report a case in which a patient developed a tension pneumothorax while positive-pressure ventilation for general anesthesia 1 day after subclavian vein catheterization, although initial post-insertion chest X-ray was normal. (Korean J Anesthesiol 1998; 34: 660∼664)
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419
2005-7563