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Tension pneumothorax occurred during ultrasound-guided paravertebral block, and experience of treatment : A case report
초음파 유도하 흉부 방척추블록시 발생한 긴장성 기흉과 치료 경험 - 의인성 기흉에 대한 바늘 감압술을 시행한 증례

첫 페이지 보기
  • 발행기관
    대한척추통증학회 바로가기
  • 간행물
    Pain Bulletin 바로가기
  • 통권
    Vol. 3 No. 1 (2024.06)바로가기
  • 페이지
    pp.22-25
  • 저자
    Dongsik Lim, Eun Joo Choi
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A480207

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원문정보

초록

영어
A 69-year-old man visited multidisciplinary pain center as an out-patient, complaining of back pain (NRS 9) after trauma 15 days ago. The pain was exacerbated by position change and cough. Percussion tenderness was present at mid-thoracic level, but neurologic exam was normal. T-spine image revealed compression fracture at T6 and 7. Ultrasound-guided paravertebral block at right T7 level was performed in a prone position. The patient coughed during injection, and presented severe chest pain and shortness of breath. The patient was transferred to ER under doubt of pneumothorax. Initial vital sign at ER was BP 172/84mmHg, HR 155/min. Chest X-ray revealed tension pneumothorax at right upper lung field. 16G needle was inserted Right 5~6th rib and simultaneously thoracic surgeon was called. After needle insertion, chest pain and shortness of breath were improved and vital sign was improved to BP 136/68mmHg, HR 92/min. Atelectasis of right lung was improved after chest tube drainage by thoracic surgeon. After admission, osteoporotic compression fracture was diagnosed based on MRI and DXA finding. The patient presented worsened back pain (NRS 10) and epidural steroid injection at T6-7 had no effectiveness. Percutaneous balloon kyphoplasty was done at T6 and T7 using extrapedicular approach. After kyphoplasty, back pain was improved to NRS 2/10, and no other complication was seen. Eight days after, chest tube was removed after confirmation of no drainage. The patient was discharged the next day. After 2 weeks, patient visited multidisciplinary pain center, no pain remained and CXR was normal.

목차

Abstract
증례보고
고찰
참고문헌

키워드

Injections Paravertebral block Pneumothorax Vertebroplasty

저자

  • Dongsik Lim [ 임동식 | Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital ]
  • Eun Joo Choi [ 최은주 | Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    대한척추통증학회 [The Korean Spinal Pain Society]
  • 설립연도
    2016
  • 분야
    의약학>정형외과학
  • 소개
    본회는 대한척추통증학회 (The Korean Spinal Pain Society : KSPS)라고 칭한다. 본회의 목적은 척추통증의학의 발전과 회원 상호간의 친목을 도모하는데 있다.

간행물

  • 간행물명
    Pain Bulletin
  • 간기
    반년간
  • pISSN
    2951-3782
  • eISSN
    3140-3689
  • 수록기간
    2022~2025
  • 십진분류
    KDC 514 DDC 617

이 권호 내 다른 논문 / Pain Bulletin Vol. 3 No. 1

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