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Korean Journal of Anesthesiology 2005;49(2):265-268.
DOI: https://doi.org/10.4097/kjae.2005.49.2.265   
Obstruction of Dependent Bronchus by Necrotic Cancer Materials during Pneumonectomy: A case report.
Sie Jeong Ryu, Min Seong Sim
Department of Anesthesiololgy and Pain Medicine, College of Medicine, Kosin University, Busan, Korea. siejeong@ns.kosinmed.or.kr
Abstract
Partial airway obstruction is common in anesthesia and has several causes, but total airway obstruction is rare and may result in severe complications if not corrected early. We experienced total airway obstruction of a dependent bronchus by cancer materials during pneumonectomy and removal of these materials with Fogarty and Foley catheters took considerable time. PaCO2 increased to more than 170 mmHg and pH decreased to less than 7 at 1 hour after obstruction. But, no metabolic derangement or neurologic sequelae were observed after the operation.
Key Words: airway obstruction; cancer embolus; pneumonectomy


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