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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.2022-003d6eb6b90-8e32-42ed-b072-e87489164f9d
名前 / ファイル | ライセンス | アクション |
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Item type | *学術雑誌論文 / Journal Article(1) | |||||||||||||||||
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公開日 | 2022-09-13 | |||||||||||||||||
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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) | |||||||||||||||||
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言語 | eng | |||||||||||||||||
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主題 | one-lung ventilation, situs inversus totalis, tracheal bronchus, collateral respiratory pathways | |||||||||||||||||
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資源タイプ | journal article | |||||||||||||||||
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ID登録 | 10.14994/tohojmed.2022-003 | |||||||||||||||||
ID登録タイプ | JaLC | |||||||||||||||||
著者 |
Koda, Kenichiro
× Koda, Kenichiro
× Kimura, Rie
× Sano, Atsushi
× Uzawa, Masashi
× Kimura, Haruka
× Kitamura, Takayuki
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内容記述タイプ | Other | |||||||||||||||||
内容記述 | Case Report | |||||||||||||||||
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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 |
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出版者 | The Medical Society of Toho University | |||||||||||||||||
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収録物識別子タイプ | PISSN | |||||||||||||||||
収録物識別子 | 21891990 | |||||||||||||||||
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出版タイプ | VoR | |||||||||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||
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内容記述 | TD09591882 | |||||||||||||||||
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内容記述タイプ | Other | |||||||||||||||||
内容記述 | TOHO University Scholarly Publication | |||||||||||||||||
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内容記述 | Tokyo |