기관내관 Cuff 에 인한 기도폐쇄 1례 보고 = Respiratory Obstruction due to Overinflation of Endotracheal Cuff

다국어 초록 (Multilingual Abstract)

The patient was scheduled for subtotal gastrectomy and was premedicated with morphine 10 mg and atropine 0.4 mg. For induction of anesthesia 200mg of thiopental were injected intravenously. A number 34 French cuffed endotracheal tube was passed into the trachea under direct vision following I.V.S.C.C. 60 mg. Anesthesia was maintained with ether oxygen without difficulty. Approximately one hour and thirty minutes following induction of anesthesia tbere was a complete airway obstruction due to overinflation of endotracheal cuff.
The following precautions should be considered;
1. Prompt recognition or cause, prevention and treatment of airway obstruction.
2. A thorough examination of endotracheal tubes before use.
3. The use of endotracheal intubation never guarentees a patent airway.
4. A suction catheter passed through the endotracheal tube just after intubaon is valuable methcde for the recognition of air way obstruction.