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안은진;강현;김태화;신화용;김한구;차성재;김진윤 중앙대학교 의과대학 의과학연구소 2012 中央醫大誌 Vol.37 No.1/2
Morbid obesity effects airway management and pulmonary mechanics. Eight- year-old male child with normal development was presented with extensive diffuse lipomatosis on his abdomen and trunk. He underwent an abdominoplastic surgery to remove abdominal wall mass. After the surgery, total 7270 g mass was removed. During the operation, we studied the change of pulmonary mechanics by measuring airway pressure, compliance and airway resistance by spirometer. The compliance was significantly decreased when the patient’s position was changed to Trendelenburg and increased when the mass was removed. Airway pressure revealed reverse to compliance. Airway resistance showed no significant change. The operation took 9 hours and 50 minutes and the anesthesia went through uneventfully.