Evidence map›Paper›PMID 37919928›Full record

ArticleAnesthesia and pain medicine2023

Severe pulmonary edema occurred during endobronchial ultrasound under monitored anesthesia care - A case report.

Hwan Yong Choi, Hyung Koo Kang, Min Hee Heo, Sang Il Lee, Ji Yeon Kim, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Kyung Woo Kim, Jun Hyun Kim

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Anesthesia and pain medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hwan Yong ChoiDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Hyung Koo KangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Min Hee HeoDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Sang Il LeeDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Ji Yeon KimDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Kyung-Tae KimDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Jang Su ParkDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Won Joo ChoeDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Kyung Woo KimDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Jun Hyun KimDepartment of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndobronchial ultrasound (EBUS) is widely used to diagnose lung cancer. Monitored anesthesia care (MAC) can enhance patient comfort and procedural conditions during EBUS. EBUS under MAC is usually safe but can lead to various complications. CASE: A 34-year-old male who had increased sputum for two months showed an enlarged paratracheal lymph node and planned for lymph node biopsy by EBUS. During EBUS under MAC, an unexpected oxygen saturation decline required intervention. After intubation, copious frothy fluid was suctioned from the bronchi, and oxygenation was recovered. A narrowed trachea and the EBUS bronchoscope might have resulted in upper airway obstruction, and suction performed under these conditions might have caused pulmonary edema. The patient received non-invasive ventilation and high-flow nasal cannula and recovered without complications.

conclusionsWhen there is an expected risk of upper airway obstruction during EBUS, careful preoperative evaluation and preparation are essential to prevent negative pressure pulmonary edema.

Indexed as

Airway obstructionBronchoscopesDeep sedationLymph nodesPulmonary edemaSuctionTrachea

Identifiers

PMID37919928
PMCPMC10635853

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