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증례보고 : 상부기관협착증을 가진 환자의 기관절제와 단단문합술에서의 후두마스크를 사용한 마취관리
권태명 ( Tae Myoung Kwon ),윤미자 ( Mi Ja Yun ),강종만 ( Jong Man Kang ),오아영 ( Ah Young Oh ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.4
Tracheotomy and end-to-end anastomosis is a relatively rare operation, but it is one of the most challenging for anesthesiologists. During surgery, the principal anesthetic consideration is to maintain the ventilation and oxygenation throughout the procedure. We experienced anesthetic management of a 49-year-old man with upper tracheal stenosis after long-term intubation and ventilation care. The stenotic lesion was located at 2 cm below the vocal cords, and the length of the stenotic segment was about 2 cm. The anesthesia was induced and maintained with intravenous propofol and alfentanil. The airway was managed with LMA and distal tracheal intubation on the surgical field and we were able to maintain adequate ventilation and oxygenation throughout the operational period. (Korean J Anesthesiol 2006; 51: 499~503)