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증례보고 : 체외순환 없는 관상동맥 우회술 도중 호기말이산화탄소분압에 의해 조기 발견된 파열된 폐 낭포
김성협 ( Seong Hyop Kim ),윤태균 ( Tae Gyoon Yoon ),강주은 ( Joo Eun Kang ),오충식 ( Chung Sik Oh ),김덕경 ( Duk Kyung Kim ),김태엽 ( Tae Yop Kim ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.1
Capnography is monitoring of concentration or partial pressure of CO2 in respiratory gases. It provides information about CO2 production, pulmonary perfusion, alveolar ventilation, respiratory patterns and elimination of CO2 from the anesthesia circuit and ventilator. Thus it gives us a rapid and reliable method to detect life threatening conditions such as malposition of tracheal tube, ventilatory failure, circulatory failure and defective breathing circuits. Authors experienced that change of capnogram during off pump coronary artery bypass grafting surgery helped early detecting ruptured bulla and prevented intraopertive or postoperative pneumothorax. (Korean J Anesthesiol 2009;56:83~6)