تقرير
Severe pulmonary edema occurred during endobronchial ultrasound under monitored anesthesia care - A case report.
| العنوان: | Severe pulmonary edema occurred during endobronchial ultrasound under monitored anesthesia care - A case report. |
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| المؤلفون: | Choi HY; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Kang HK; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Heo MH; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Lee SI; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Kim JY; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Kim KT; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Park JS; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Choe WJ; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Kim KW; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea., Kim JH; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea. |
| المصدر: | Anesthesia and pain medicine [Anesth Pain Med (Seoul)] 2023 Oct; Vol. 18 (4), pp. 439-444. Date of Electronic Publication: 2023 Oct 30. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Korean Society of Anesthesiologists Country of Publication: Korea (South) NLM ID: 101517708 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2383-7977 (Electronic) Linking ISSN: 19755171 NLM ISO Abbreviation: Anesth Pain Med (Seoul) Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Seoul : Korean Society of Anesthesiologists, [2006]- |
| مستخلص: | Background: Endobronchial ultrasound (EBUS) is widely used to diagnose lung cancer. Monitored anesthesia care (MAC) can enhance patient comfort and procedural conditions during EBUS. EBUS under MAC is usually safe but can lead to various complications. Case: A 34-year-old male who had increased sputum for two months showed an enlarged paratracheal lymph node and planned for lymph node biopsy by EBUS. During EBUS under MAC, an unexpected oxygen saturation decline required intervention. After intubation, copious frothy fluid was suctioned from the bronchi, and oxygenation was recovered. A narrowed trachea and the EBUS bronchoscope might have resulted in upper airway obstruction, and suction performed under these conditions might have caused pulmonary edema. The patient received non-invasive ventilation and high-flow nasal cannula and recovered without complications. Conclusions: When there is an expected risk of upper airway obstruction during EBUS, careful preoperative evaluation and preparation are essential to prevent negative pressure pulmonary edema. |
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| فهرسة مساهمة: | Keywords: Airway obstruction; Bronchoscopes; Deep sedation; Lymph nodes; Pulmonary edema; Suction; Trachea |
| تواريخ الأحداث: | Date Created: 20231103 Latest Revision: 20231112 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10635853 |
| DOI: | 10.17085/apm.23085 |
| PMID: | 37919928 |
| قاعدة البيانات: | MEDLINE |
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