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감시마취관리하 갑상샘 고주파절제술 중 발생한 급성기도폐쇄

Acute Airway Obstruction during Radiofrequency Ablation of Thyroid Nodules under Monitored Anesthesia Care

The Medical Journal of Chosun University
2018년 43권 2호 p.117 ~ p.120
주완 ( Ju Wan ) - 광주기독병원 마취통증의학과

박천희 ( Park Choon-Hee ) - 광주기독병원 마취통증의학과
석은하 ( Suk Eun-Ha ) - 광주기독병원 마취통증의학과

Abstract

Monitored anesthesia care (MAC) has been described as a specific anesthesia service for diagnostic or therapeutic procedures performed under local anesthesia along with sedation and analgesia, titrated to a level preserving spontaneous breathing and airway reflexes. Radio-frequency ablation (RFA) is a kind of methods to remove benign thyroid nodules (BTNs) by inducing the irreversible injuries with the use of an ultrasound-guided RF electrode placed inside the nodules. A 37 years old, 157 cm, 81 kg woman underwent RFA of BTNs under MAC. We present with a case report where laryngospasm under MAC was resolved by the use of positive pressure ventilation without any complications.

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