ID | 109603 |
著者 |
富山, 芳信
Division of Surgical Center, Tokushima University Hospital, the University of Tokushima
徳島大学 教育研究者総覧
KAKEN研究者をさがす
ヒガシジマ, サチヨ
Department of Anesthesiology, Tokushima University Hospital, the University of Tokushima
カドタ, タカコ
Department of Anesthesia, Takamatsu Red Cross Hospital
久米, 克佳
Department of Anesthesiology, Tokushima University Hospital, the University of Tokushima
KAKEN研究者をさがす
カワハラ, トミヤ
Department of Anesthesiology, Tokushima University Hospital, the University of Tokushima
オオシタ, ナオヒロ
Department of Anesthesiology, Tokushima University Hospital, the University of Tokushima
|
キーワード | electrocardiogram
pneumothorax
R-wave amplitude
|
資料タイプ |
学術雑誌論文
|
抄録 | Tension pneumothorax is a rare but potentially life-threating complication of laparoscopic fundoplication. Electrocardiogram (ECG) changes may be used in the diagnosis of intraoperative tension pneumothorax. This case study examines a pediatric patient who underwent laparoscopic fundoplication. Sudden decreases in oxygen saturation were observed during dissection, although the patient’s decrease in blood pressure was less marked. Manual ventilation with high inspiratory pressure and inspiratory pause improved oxygenation. The amplitude of the R-wave decreased from 0.8 mV to 0.3mV in 5 seconds. Twenty minutes later, oxygen saturation decreased again, the R-wave amplitude decreased from 0.3 mV to 0.1 mV in 1 second, and the decrease in blood pressure was marked. Manual ventilation with high inspiratory pressure improved oxygenation, blood pressure, and R-wave amplitude within two minutes. After conversion to open surgery, the cardiorespiratory condition gradually improved, but the R-wave amplitude did not fully recover, even at the end of surgery. Right-side pneumothorax was subsequently confirmed by postoperative chest X-ray. Chest drains were inserted after surgery. This case suggests that trends in R-wave amplitude are potential indicators of intraoperative tension pneumothorax.
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掲載誌名 |
The journal of medical investigation : JMI
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ISSN | 13431420
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cat書誌ID | AA11166929
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巻 | 61
|
号 | 3-4
|
開始ページ | 442
|
終了ページ | 445
|
並び順 | 442
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発行日 | 2014-08
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EDB ID | |
フルテキストファイル | |
言語 |
eng
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著者版フラグ |
出版社版
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部局 |
病院
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