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중동호흡기증후군 환자에 시행한 기관절개술 1예

송주헌1, 김호찬1, 강제구1, 노동환1,*
Ju Hun Song1, Ho Chan Kim1, Jae Goo Kang1, Dong-Hwan Roh1,*
Author Information & Copyright
1국립중앙의료원 이비인후과
1Department of Otorhinolaryngology-Head and Neck Surgery, National Medical Center, Seoul, Korea
*교신저자: 노동환, 04564 서울 중구 을지로 245 국립중앙의료원 이비인후과 전화 :(02) 2260-7244·전송 :(02) 2276-0534 E-mail:snumed@hanmail.net

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 25, 2015; Revised: Oct 20, 2015; Accepted: Nov 12, 2015

Published Online: May 31, 2020

ABSTRACT

Middle East Respiratory Syndrome (MERS) caused by a single-stranded, positive-sense RNA beta-coronavirus (MERS-CoV) was first isolated in Jeddah, Saudi Arabia. Approximately 180 cases of MERS have occurred in a recent Korean outbreak. Clinical features vary from asymptomatic infection to severe pneumonia with acute respiratory distress syndrome and/or multiorgan failure. To control acute respiratory failure, endotracheal intubation is frequently required; in most patients with prolonged endotracheal intubation, tracheotomy is mandatory to appropriately control the airways and to avoid serious complications of extended intubation. Tracheotomy can be a high-risk procedure because it generates profuse droplets and aerosols, which in turn promote interpersonal dissemination of the virus. Herein, we report the first tracheotomy case in a Korean MERS patient to describe appropriate airway management and protection of medical staff. (J Clinical Otolaryngol 2015;26:301-306)

Keywords: 중동호흡기증후군; 감염; 기관절개술; 방호구
Keywords: Middle east respiratory syndrome; Infection; Tracheotomy; Personal protective equipment