지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.74 No.3
- 발행연도
- 2021.1
- 수록면
- 262 - 265 (4page)
이용수
초록· 키워드
오류제보하기
배경: Pierre Robin 증후군(Pierre Robin sequence, PRS) 환자는 해부학적 기도 이상소견으로 인해 기관내삽관이 어려울 위험이 크며, 마취 전 3차원 인쇄 기도 모델을 통한 기관내삽관 시뮬레이션은 안전한 기도 관리를 가능하게 할 수 있다. 증례: 저자들은 전신마취가 필요한 Pierre Robin 증후군(소하악증, 설하수증, 기도 폐쇄를 포함하는 3가지 증상), 기관절개술 및 성문하 섬유증의 병력이 있는 6.5세 소년의 증례를 기술하였다. 이렇게 잠재적으로 어려운 기관내삽관을 위한 준비에는 기도의 3차원 컴퓨터 단층 촬영에서 도출한 3차원 인쇄 기도 모델을 사용한 기관 내 튜브 크기 추정이 포함되었으며, 이는 비디오 후두경을 통해 성공적인 기관내삽관이 가능하게 했다. 결론: Pierre Robin 증후군과 같은 이형적 특징이 있는 환자에서 전신마취가 필요하고, 기관 병리(pathology)의 병력이 있는 경우 어려운 기관내삽관 가능성을 항상 고려해야 하며, 이러한 상황에서 기도의 3차원 인쇄 모델을 사용한 기관내삽관의 시뮬레이션은 임상적으로 도움이 될 수 있다.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Cladis F / 2014 / Pierre Robin Sequence : a perioperative review / Anesth Analg 119:400~412
Chang E / 2019 / Iatrogenic subglottic tracheal stenosis after tracheostomy and endotracheal intubation : a cohort observational study of more severity in keloid phenotype / Acta Anaesthesiol Scand 63:905~912
Apfelbaum JL / 2013 / Practice guidelines for management of the difficult airway : an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway / Anesthesiology 118:251~270
Raj D / 2015 / Managing the difficult airway in the syndromic child / Contin Educ Anaesth Crit Care Pain 15:7~13
Sonwane RB / 2017 / Airway management for Pierre Robin sequence : an anesthetic challenge / Ann Int Med Dent Res 3:AN05~AN08
Chang E / 2019 / Iatrogenic subglottic tracheal stenosis after tracheostomy and endotracheal intubation : a cohort observational study of more severity in keloid phenotype / Acta Anaesthesiol Scand 63:905~912
Apfelbaum JL / 2013 / Practice guidelines for management of the difficult airway : an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway / Anesthesiology 118:251~270
Raj D / 2015 / Managing the difficult airway in the syndromic child / Contin Educ Anaesth Crit Care Pain 15:7~13
Sonwane RB / 2017 / Airway management for Pierre Robin sequence : an anesthetic challenge / Ann Int Med Dent Res 3:AN05~AN08
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