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  1. Toho Journal of Medicine
  2. Vol.8
  3. No.3(p.89-118)

Difficult Establishment of One-Lung Ventilation Due to Preoperatively Undiagnosed Tracheal Bronchus and Collateral Respiratory Pathway in a Patient with Situs Inversus Totalis

https://doi.org/10.14994/tohojmed.2022-003
https://doi.org/10.14994/tohojmed.2022-003
d6eb6b90-8e32-42ed-b072-e87489164f9d
名前 / ファイル ライセンス アクション
td09591882.pdf td09591882.pdf (455.3 KB)
Item type *学術雑誌論文 / Journal Article(1)
公開日 2022-09-13
タイトル
タイトル Difficult Establishment of One-Lung Ventilation Due to Preoperatively Undiagnosed Tracheal Bronchus and Collateral Respiratory Pathway in a Patient with Situs Inversus Totalis(en)
言語
言語 eng
キーワード
主題 one-lung ventilation, situs inversus totalis, tracheal bronchus, collateral respiratory pathways
資源タイプ
資源タイプ journal article
ID登録
ID登録 10.14994/tohojmed.2022-003
ID登録タイプ JaLC
著者 Koda, Kenichiro

× Koda, Kenichiro

en Koda, Kenichiro
Department of Anesthesiology, Toho University Sakura Medical Center

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Kimura, Rie

× Kimura, Rie

en Kimura, Rie
Department of Anesthesiology, Toho University Sakura Medical Center

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Sano, Atsushi

× Sano, Atsushi

en Sano, Atsushi
Department of Thoracic Surgery, Toho University Sakura Medical Center

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Uzawa, Masashi

× Uzawa, Masashi

en Uzawa, Masashi
Department of Anesthesiology, Toho University Sakura Medical Center

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Kimura, Haruka

× Kimura, Haruka

en Kimura, Haruka
Department of Anesthesiology, Toho University Sakura Medical Center

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Kitamura, Takayuki

× Kitamura, Takayuki

en Kitamura, Takayuki
Department of Anesthesiology, Toho University Sakura Medical Center

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内容記述
内容記述タイプ Other
内容記述 Case Report
内容記述
内容記述タイプ Other
内容記述 Secure one-lung ventilation (OLV) must be guaranteed during thoracoscopic surgery, and special attention is required for patients with central airway anomalies. A 72-year-old man with situs inversus totalis was scheduled for pleural biopsy for diagnosis of the pleural effusion etiology. We experienced difficult right bronchial intubation using a left-sided double-lumen tube due to subglottic resistance caused by tracheal deviation. Six months later, partial resection of the left lower lung lobe was scheduled under the diagnosis of adenocarcinoma. This time, we chose combined use of a single-lumen tube and a bronchial blocker; however, due to a tracheal bronchus and collateral respiratory pathways, which were preoperatively undiagnosed and incidentally found during the surgery, we could not successfully establish OLV. Based on our experience with this patient, we emphasize the importance of careful assessment of the tracheobronchial tree in patients with central airway anomalies who undergo surgery requiring OLV.
書誌情報 ja : Toho Journal of Medicine
en : Toho Journal of Medicine

巻 8, 号 3, p. 110-114, 発行日 2022-09-01
出版者
出版者 The Medical Society of Toho University
ISSN
収録物識別子タイプ PISSN
収録物識別子 21891990
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
レコードID
内容記述 TD09591882
資源タイプ(ローカル)
内容記述タイプ Other
内容記述 TOHO University Scholarly Publication
出版地
内容記述 Tokyo
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