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Korean J Crit Care Med > Volume 27(1); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(1): 55-58. doi: https://doi.org/10.4266/kjccm.2012.27.1.55
기관내삽관 후 막양부기관의 일시적 확장을 보인 1예 -증례 보고-
최 승ㆍ이은우ㆍ윤명호ㆍ박재영ㆍ김철환ㆍ범재원ㆍ박 건
성가롤로병원 내과
Transient Dilation of the Membranous Trachea after Endotracheal Intubation: A Case Report
Seung Choi, Eun Woo Lee, Myung Ho Yun, Jae Young Park, Cheol Hwan Kim, Jae Won Beom, Gun Park
Department of Internal Medicine, Saint Carollo Hospital, Korea. lew0118@hanmir.com
ABSTRACT
Endotracheal intubation is a quick, simple and safe procedure for airway management and is used in various medical procedures. Many endotracheal tubes have a cuff system, which prevents aspiration and allows positive pressure ventilation. However excessive inflation of the cuff can cause mucosal ischemia with tracheal dilation which may result in tracheal rupture, or even death. Fortunately, mucosal ischemia of the trachea can be treated successfully with well-timed control of cuff pressure. It is essential for medical practitioners to be aware of these complications and to be able to manage them effectively if they arise. We present a case of diverticular-like dilation of the lower trachea detected by fiberoptic bronchoscopy that eventually improved in the hemoptysis patient after endotracheal intubation.
Key Words: complication; endotracheal intubation; tracheal dilation
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