Airway management of a patient incidentally diagnosed with Mounier-Kuhn syndrome during general anesthesia
No Hyun-Joung, 이정만, 원동욱, 강표윤, 최승은,
소속 상세정보
( No Hyun-Joung ) - Seoul Metropolitan Government Seoul National University Boramae Medical Department of Anesthesiology and Pain Medicine
이정만 ( Lee Jung-Man ) - Seoul Metropolitan Government Seoul National University Boramae Medical Department of Anesthesiology and Pain Medicine
원동욱 ( Won Dong-Wook ) - Seoul Metropolitan Government Seoul National University Boramae Medical Department of Anesthesiology and Pain Medicine
강표윤 ( Kang Pyo-Yoon ) - Seoul National University Hospital Department of Anesthesiology and Pain Medicine
최승은 ( Choi Seung-Eun ) - Seoul National University Hospital Department of Anesthesiology and Pain Medicine
Abstract
Mounier-Kuhn syndrome (MKS) is a disease characterized by dilation of the trachea and mainstem bronchi. Due to the risk of airway leakage, pulmonary aspiration, and tracheal damage, MKS can be fatal in patients undergoing tracheal intubation. Moreover, MKS may not be diagnosed preoperatively due to its rarity. In this case, a patient undergoing neurosurgery was incidentally diagnosed with MKS during general anesthesia. During anesthesia induction, difficulties in airway management led the anesthesiologist to suspect MKS. Airway leakage was resolved in this case using oropharyngeal gauze packing. Anesthesiologists should be aware of the possibility of MKS and appropriate management of the airways.
키워드
Airway Management; Intubation, Intratracheal; Mounier-Kuhn Syndrome; Tracheobronchomegaly
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