A Case Report of Delayed Hemolytic Transfusion Reaction after Administration of Apparently Compatible Blood / 대한마취과학회지

Hemolytic transfusion reactions may occur after the administration of donor bloods even when they have been shown compatible apparently by crossmatch tests. Such episodes present a diagnostic challenge and raise serious doubts about our understanding of blood group incompatibility. Fever, hemoglobinuria, oliguria and marked fall in hematocrit values developed in a patient 30 hours after she had received one unit of apparently compatible blood during operation under general anesthesia. Results of routine serologic studies at the time of the transfusion reaction were normal. She died on 40 hours after operation.

Clinical Observation of Blood Pressure Changes During Spinal Anesthesia / 대한마취과학회지

In an attempt to observe the influence of the spinal anesthesia on the systolic blood pressure, 350 cases of the spinal anesthesia ranging from 16 to 60 years of age were analyzed. The spinal anesthetics in this study was hyperbaric solution of 0.5% tetracaine in 6 or 10% D/W. The 350 cases were put into 4 groups by their preanesthetic systolic blood pressure and by post anesthetic dermatome of sensory block, and then the alteration of blood pressure in systolic of each group was studied. The results obtained are as follows. 1) The maximal fall of blood pressure was seen at 10 min. after spinal anesthesia. 2) Of the groups of the same sensory block dermatome, the fall of the more prominent in the higher initial systolic blood pressure group. 3) Of the groups of the same initial systolic blood pressure, the fall of was more prominent in the higher sensory block dermatome group. 4) The most prominent fall of the systolic blood pressure during spinal anesthesia was seen on the highest sensory block dermatome and initial systolic blood pressure.

Anesthetic Experience with Two Cases of Congenital Diaphragmatic Hernia / 대한마취과학회지

The authors have experienced two cases of general anesthesia for repair of congenital diaphragmatic hernia. Both patients were female (1 year 5 months and 8 months of age) and had left sided Bochdalek hernia. Anesthesia was maintained with halothane-oxygen using nonrebreathing system with Ruben valve, and the patients tolerated the whole procedure very well. The importance of maintaining adequate ventilation with high concentrations of oxygen and avoiding abdominal distension has been stressed.

Clinical Observation of Blood Pressure Changes During General Anesthesia / 대한마취과학회지

During the past three years, in 1,607 selected general anesthetic cases, the authors have observed the influence of various drugs used in anesthesia and the patient's physical status upon the blood pressure during and immediately following endotracheal intubation. The results are as follows: 1) Blood pressure was higher during and for a period of 10 minutes after intubation than the control. 2) In the cases premedicated with Demerol and atropine intubation. Following intubation, however, blood pressure halothane anesthesia. 3) In patients with poor physical status, blood pressure more following intubation when either halothane or ether was employed. 4) Patients with poor physical status seemed to tolerate, considering the blood pressure change, ether better than holothane anesthesia.5) In the beginning of induction, blood pressure tended to fall less with gallamine than with succinylcholine chloride.