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Korean Journal of Anesthesiology 2003;45(1):161-166.
DOI: https://doi.org/10.4097/kjae.2003.45.1.161   
Application of One Lung Ventilation in the Detection of Pulmonary Embolism during Operation.
Chang Hyun Park, Ji Seon Son, Seong Hoon Ko, Dong Chan Kim, Sang Kyi Lee, Young Jin Han, He Sun Song
Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. dckim@moak.chonbuk.ac.kr
Intraoperative pulmonary thromboembolism (PTE) is rare, but is nevertheless one of the important causes of morbidity and mortality in patient undergoing surgery. However, The detection of PTE is difficult because it's clinical symptoms and signs are nonspecific during surgery, and specialized diagnostic tools are not readily available in the operating room. We report a case of PTE due to cancer emboli with thrombi encountered during a nephrectomy in patient with renal cell cancer, and demonstrate that one-lung ventilation can aid in the diagnosis of massive PTE when the evaluation is suspected.
Key Words: one lung ventilation; pulmonary thromboembolism


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