조상윤
2018-02-28T04:57:17Z
2018-02-28T04:57:17Z
2016-04
Korean Journal of Anesthesiology, v. 69, NO 2, Page. 175-180
2005-6419
2005-7563
https://synapse.koreamed.org/DOIx.php?id=10.4097/kjae.2016.69.2.175
http://hdl.handle.net/20.500.11754/41141
A 33-year-old male visited the emergency room with abdominal pain which developed after a vomiting episode. Based on the pneumomediastinum findings from a chest radiograph and a contrast-enhanced chest and abdominal computed tomography scan, the patient was diagnosed with Boerhaave's syndrome. Preoperative radiologic findings showed no pneumothorax or pleural effusion. Once anesthesia was administered, the patient developed near complete cardiopulmonary collapse due to a bilateral tension pneumothorax, which was treated by bilateral thoracentesis, followed by chest tube insertion. Despite a left side rupture, the damaged right lung was unable to overcome single right ventilation, so the surgery was completed via right thoracotomy. The ruptured site was treated, and the patient was transferred to the intensive care unit. We discuss the anesthetic implications of this disease and how to prevent fatal complications.
en
Korean Society of Anesthesiologists
Boerhaave syndrome
General anesthesia
Positive-pressure respiration
Pneumothorax
Development of bilateral tension pneumothorax under anesthesia in a Boerhaave's syndrome patient - a case report-
Article
2
69
10.4097/kjae.2016.69.2.175
175-180
Korean Journal of Anesthesiology
Oh, Mi Kyung
Jeon, Woo Jae
Cho, Sang Yun
Kwon, Yong Deok
Kim, Kyoung Hun
2016034065
S
COLLEGE OF MEDICINE[S]
DEPARTMENT OF MEDICINE
chosy
http://orcid.org/0000-0002-6593-1960