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논문 기본 정보

자료유형
학술저널
저자정보
Youn Seok Hwa (Department of Surgery National Medical Center Seoul Korea.) Baek Sunyoung (Department of Surgery National Medical Center Seoul Korea.) Yoon Jiho (Department of Surgery National Medical Center Seoul Korea.) Hong Sung Soo (Department of Surgery National Medical Center Seoul Korea.) Younghwan Kim (National Medical Center)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.28
발행연도
2020.1
수록면
1 - 6 (6page)

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Coronavirus disease was first reported in December 2019, and the World Health Organization declared it as a pandemic on March 11, 2020. The virus is known to attack various vital organs, including the respiratory system. Patients sometimes require positive pressure ventilation and tracheostomy. Because tracheostomy is a droplet-spreading procedure, medical staff should protect themselves against the risk of transmission of this contagious viral disease. In our case, we performed tracheostomy for a 70-year-old man with coronavirus disease 2019 (COVID-19) who had required more oxygen with gradual weakness of respiratory muscle to maintain his arterial oxygen saturation. We focused on the risks of the medical staffs and patients, and minimized them at the same time using temporary balloon over- inflation, pre-operative adjustment of endotracheal tube position, and attachment of a transparent film dressing to the surgical field without stopping the ventilator while following routine safety measures. Fourteen days after the tracheostomy, all participating medical staff members were healthy and asymptomatic. The patient was discharged 105 days after the COVID-19 diagnosis.

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