{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T10:25:33Z","timestamp":1771064733603,"version":"3.50.1"},"reference-count":15,"publisher":"The Korean Society of Anesthesiologists","issue":"4","license":[{"start":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:00:00Z","timestamp":1698624000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2023,10,31]]},"abstract":"<jats:p>Background: Endobronchial 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 man 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. Conclusions: When there is an expected risk of upper airway obstruction during EBUS, careful preoperative evaluation and preparation are essential to prevent negative pressure pulmonary edema.<\/jats:p>","DOI":"10.17085\/apm.23085","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T05:52:02Z","timestamp":1698731522000},"page":"439-444","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Severe pulmonary edema occurred during endobronchial ultrasound under monitored anesthesia care - A case report -"],"prefix":"10.17085","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5173-4715","authenticated-orcid":true,"given":"Hwan Yong","family":"Choi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-0944","authenticated-orcid":true,"given":"Hyung 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asthma]","author":"Bedolla-Pulido","year":"2017"},{"key":"ref12","first-page":"437","volume-title":"Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018: A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology","year":"2018"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1378\/chest.74.4.362"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1378\/chest.107.2.430"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0049125"}],"container-title":["Anesthesia and Pain 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