Effects of Anesthesia and surgery on Blood Sugar Level in Children / 대한마취과학회지

The effects of ether and halothane anesthesia, and surgery on blood sugar level in children were studied in twelve patients, Six patients were anesthetized with ether and other six patients with halothane. Blood samples were taken two times through a catheter in the external jugular vein after intravenous injection of pentothal 6 mg/kg and succinylcholine 1mg/kg during the anesthesia and. surgical procedure. Blood sugar was measured with the orthotoluidine method. The mean value of blood sugar in the ether group was elevated significantly from 68 mg/100 inl to 92. 2 mg/100 ml and also in the halothane group it was elevated' from 68. 8 mg/l00 ml to 81 mg/100 ml, with a significant difference that the blood sugar level was higher in the ether group than in the halothane group. Results were also compared with the hyperglycemic response to different types of surgery. The value of blood sugar under general anesthesia during intra-abdominal, body surface and other surgery was measured. The hyperglycemic response to intra-abdominal surgery was the largest and the next was in other surgery, and in body surface surgery it was smallest, so it was shown there is a relationship between the degree of trauma and the rise in blood sugar.

Report of Pediatric Anesthesia with Ambu Valve / 대한마취과학회지

The choice of equipment for the administration of anesthesia depends to a considerable extent upon personal preference. Underlying factors must guide this choice, however. Equipment is suited to the individual patient, with especial care to avoid resistance, dead space, fatigue, and trauma, since all of these insults are easily imposed upon small patients. As we have had good experience in pediatric anesthesia with the Ambu valve and the results were satisfactory, we report with discussion of references.

Blood Pressure Changes After Implantation of Acrylie Cement into the Acetabulum and Proximal Femoral Shaft / 대한마취과학회지

A fall in systemic arterial pressure after implantation of acrylic cement into the acetabulum and proximal femoral shaft in the surgery of total hip prosthesis was observed and also the following results were obtained in three cases of total hip prosthesis under general anesthesia. 1) Blood pressure was usually decreased immediately after implantation of acrylic cement and returned to normal level approximately within 5 minutes. 2) The marked fall in blood pressure was more often observed with the introduction of bone cement into the proximal femoral shaft but less with the acetabular implantation of bone cement. 3) It is urged to measure blood pressureat the minute interval immediately after insertion of bone cement.

Cardiac Arrest during Strabismus Surgery Report of A Case / 대한마취과학회지

Cardiac arrest is an alarming emergency. To be faced with it during strabismus surgery is a frightening experience for both surgeon and anesthesiologist. We have experienced with a case of cardiac arrest during traction of medial rectus muscle for strabismus surgery. Surgery was completed successfully after retrobulbar block with 2% lidocaine.

Tracheoesophageal Fistula Following Prolonged Tracheostomy Cannulation / 대한마취과학회지

Tracheostomy cannulation, introduced since 1952 as a means of long-term ventilatory support, has occasionally resulted in severe traumatic lesions of trachea and tracheoesophageal fistula. This case report consists of a tracheoesophageal fistula developed 115 days after tracheostomy cannulation in a 61 year old driver with C.V.A. The causative factor in this patient seemed to be the tip of tracheostomy cannulation.

An Anesthetic Experience with Primary Aldosteronism / 대한마취과학회지

The author reported an anesthetic experience of left adrenalectomy for a 37year old man with primary aldosteronism. The patient tolerated fluothane-oxygen via semiclosed circle anesthesia very well. During anesthesia, violent change in blood pressure was not observed.