ABSTRACT
Since Sicard, Cathlin and Tuffier performed the first sacral extradural anesthetic technique in 1901, surprisingly increased interest in this technique and basic investigation has been done concerning the anatomy, the physiology, and the fate of the local anesthetic in the body, after in jection in the epidural space. Recently, a decreasing interest in peridural anesthesia and nerve block thechniques have resulted from the availability of more efficacious and more safe volatile anesthetics. However in case of contraindication of both general and spinal anesthesia, this caudal anesthesia should be available and very usefull. Authers have undertaken to evaluate the circulatory effect of caudal anesthesia with the injection of lidocain into the epidural space through the sacral hiatus. Ten cases were selected and observed the change of the cardiovascular system before and after caudal anesthesia. The changes of the heart rate and systolic blood pressure between pre-and post anesthesia were insignificant statistically.
Subject(s)
Anesthesia , Anesthesia, Caudal , Anesthesia, Epidural , Anesthesia, Spinal , Anesthetics , Blood Pressure , Cardiovascular System , Epidural Space , Heart Rate , Lidocaine , Nerve Block , PhysiologyABSTRACT
Pediatric anesthetic experiences of 221 cases (under 2 years old) during two recent years were analyzed statistically according to age, sex, disease, risk, premedication, anesthetic method, hospital days, repeat operation, complications and mortality. All those infants were operated on under general anesthesia The results were as follows; 1) Age & sex; 40 cases(18. 1%) were in under 3 months age group and 136 males (61. 5%) far exceeded 85 females (38. 5%). 2) Disease; Most common diseases in order were intussusaeption (24 cases), burn, ingoinaI hernia and cleft lip. 3) Risk; elective surgery were 181 (59. 3%) cases and emergency were 90 (40. 7%) cages. 4) Premedication; Maimly used premedicant was atropine only (78 cases). 6) Anesthetic method; Most cases had endotracheal intubation with non rebreathing technique and halothane was mainly used (154 cases). 6) Hospital days; Mean hospital Stay was ll. 1 days. 7) Repeat operation; 26 cases (15. 6%) received repeated operations of 2 times or more under the same diagnosis. 8 Complications; 8cases of pneumonia and 5 cases of wound infection were seen. 9) Mortality; 6 cases (2. 7%) died during postoperative period.
Subject(s)
Female , Humans , Infant , Male , Anesthesia , Anesthesia, General , Atropine , Burns , Cleft Lip , Diagnosis , Emergencies , Halothane , Hernia , Intubation, Intratracheal , Length of Stay , Methods , Mortality , Pneumonia , Postoperative Period , Premedication , Wound InfectionABSTRACT
We recently had a patient(46 year-old) who was to undergo resection of a pheochromocytoma. The patient was treated with phenoxybenzamine for about 2 weeks preoperatively. Thiopental was used for induction followed by N2O-O2-halothane. An endotracheal semiclosed circle absorption technique with controlled ventillatian was employed. The course of anesthesia was rather stormy, reflectedby hypertension, arrhythmia and hypotension, but the patient talerated the anesthesia and surgery well with appropriate cardiovascular control using regitine, levophed, lidocaineand intravenous fluids. Importance of preoparative preparation, sufficient sedation, smooth induction, complete analgesia, good muscuar relaxation, adequate alveolar ventillation and proper cardiovascular control has been discussed. Recently some reviews of the literature on the anesthetic management of pheochromocytoma suggest that the selection of an anesthetic agent is not as important as the adequate management of the characteristics of these agents which affect the anesthetic procedures.