기관지내 삽관을 이용한 일측폐마취 2예

Abstract

Many of the lung diseases such as lung cancer, bronchiectasis, lung abscess and pulmonary tuberculosis are treated occasionally by the surgical operation and the main position of a patient is lateral. During the surgical procedures performed on the lateral positions, we had used Carlen's double lumen tube for inhibition of diseased material from being propagated to healthy dependent lung from nondependent upper lung. But in some situations, we tried to intubate the main bronchus with a single-lumen endotracheal tube. One lung anesthesia with a single-lumen tube makes the diseased lung collapse and pulmonary blood flow redistribute to minimize hypoxemia during anesthesia. Recently we have experienced two cases of onelung anesthesia by endobronchial intubation successfully. Now we report these cases with references of some literatures.