ケタミン麻酔による子宮鏡検査時に気道出血を起こした気管支拡張症の１例

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  • A Case of Airway Hemorrhage after Intravenous Administration of Ketamine to a Patient with Bronchiectasis for Hysteroscopy.

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We experienced a case (76 years old) with uterine cancer who was scheduled for a hysteroscopy. She suffered from bronchiectasis for about 10 years but had no symptoms except minimum hemoptysis. Soon after diazepam 3.5mg and ketamine 30mg were administered intravenously, airway obstruction due to hemorrhage occurred and her SpO2 decreased to 55%. Tracheal intubation was immediately performed by an anesthesiologist. There was no bleeding, and we administered thrombin 10, 000 units to the lower left lobe by the bronchoscopy. The airway hemorrhage was suspected to be caused due to underlying infection of bronchi and the hypertension caused by the ketamine. Blood pressure should be well controlled during anesthesia, especially in patients with bronchiectasis, because hypertension may lead to fatal airway hemorrhaging.

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