ABSTRACT
A retrospective review was performed of 72 cases of cleft palate operated at the Nati-onal Medical Center from March 1985 to June, 1986. We evaluated the frequency of cardiac arrythmia and changes in the heart rates when epinephrine is used with halothane anesthesia in pediatric patients for the closure of palate. 21 children (29.2%) developed several types of ventricular dysrrhythmias and one child had ventricular fibrillation. 41 children(65.37) had increase in heart rates, and 23 children had no change after epinephrine injection. All children restored sinus rhythm after 100% oxygen inhalation lidocaine(1-1.5 mg/kg) , and demerol (0.5-1 mg/kg) were injected.
Subject(s)
Child , Humans , Anesthesia , Arrhythmias, Cardiac , Cleft Palate , Epinephrine , Halothane , Heart Rate , Inhalation , Meperidine , Oxygen , Palate , Retrospective Studies , Ventricular FibrillationABSTRACT
We prospectively studied the clinical effect of intravenous bupivacaine for regional anes-thesia in the lower & upper extremities in sixty consecutive patient from September, 1985 to truly 1986. 0.2% bupivacaine was used and dosage was varied between 1.0mg/kg and 2.5mg/kg. according to the 7ype of surgery, site, body weight and the size of the limb. The amount of bupivaeaine required was rather depend upon the size of the limb thats the patient's body weight. The effect of the anesthesia for a variety of extremity procedures was rated as exoellent, good or fair in 98.3% of the patient.
Subject(s)
Humans , Anesthesia , Body Weight , Bupivacaine , Extremities , Prospective Studies , Upper ExtremityABSTRACT
Instead of previous conventional method, we have evaluated 42 cases of anesthetic effect by means of continuous axillary bracheal plexus block performed in Nationl Medical Center from May, 1984 to Oct. 1985. Although this method has been no longer new in western countries since several years ago, our effort to increase the success rate, durations and postoperative controls of pain and spasm solely by the method, were tried. Mainly using a 23 gauge, 3cm radio opaque reflon coated intravenous cather(HAKKO SHOJI CO, LTD, Dwell cath. type 3) inserted it into the axillary sheath, pointing towards the needle which was inserted to the apex of axilla with right angle in advance, about 400 or 500mg each of lidocaine, 1.5% with or without epinephrine, 1:200,000 were injected. This technique used was safe and had a high successful rate. It is particularly useful in patients undergoing long operation and in patients in whom postoperative vasodilatation would be needed after microreplantation of the hands.