人工衛星データを用いた陸面データ同化手法による土壌水分推定手法の広域適用可能性に関する研究

学位の種別: 論文博士審査委員会委員 : （主査）東京大学教授 小池 俊雄, 東京大学教授 田島 芳満, 東京大学教授 西村 拓, 東京大学准教授 平林 由希子, 東京大学准教授 沖 一雄, 東京大学准教授 竹内 渉University of Tokyo(東京大学

Anesthetic experience of an adult patient with an unrecognized tracheal bronchus -A case report-

We present a case of problematic tracheal intubation in an adult patient with an unrecognized tracheal bronchus. Immediately after tracheal intubation and position change to prone, bilateral breath sounds were almost absent, and there was a diminished tidal volume. In order to resolve the ventilatory difficulty, the wire-reinforced tube was replaced with a conventional tube, and proper positioning of the tube was completed under fiberoptic guidance. A tracheal bronchus (originating about 1.2 cm above the carina, and supplying the right upper lobe) was found on the postoperative chest CT. In the presence of tracheal bronchus, tracheal intubation may cause pulmonary complications. Anesthesiologists should keep in mind the anesthetic implications of tracheal bronchus, and must be familiar with the use of fiberoptic bronchoscopy for proper positioning of endotracheal tube