RESUMEN
The author observed the effects of an intravenous drip of ketamine hydrochloride to 60 patients with in high surgical risk who had undergone abdominal surgery at Pusan National University Hospital from March, 1981 to February, 1982. The results obtained were follows. 1) Average duration of anesthesia was 148 minutes and the rate of intravenous drip of ketamine was ranged from 0.017 to 0.02mg/kg/min. Total dose of ketamine was 264.2mg on and average. 2) Significant increase in blood pressure and heart rate was observed in the ketamine drip group during the operation (p<0.05). 3) Changes in values of arterial blood gas analysis during ketamine drip were within normal limits. 4) Duration from anesthesis to awakening in recovery room was longer in ketamine drip group than thiopental-halothane group. 5) Psychotomimetic symptoms after ketamin administration included convulsions, discomfort, and hallucinations etc. and diazepam premedcation could not completely relieve the above symptoms. 6) Relief of postoperative incisiional pain was excellent in ketamine drip group.
Asunto(s)
Humanos , Anestesia , Análisis de los Gases de la Sangre , Presión Sanguínea , Diazepam , Alucinaciones , Frecuencia Cardíaca , Infusiones Intravenosas , Ketamina , Sala de Recuperación , ConvulsionesRESUMEN
Recently, there was improved cardiopulmonary resuscitation in parallel with development of electric defibrillator. This 18-year-old male arrived at our hospital emergency room in shock state about 1 hour after trauma. Cardiac arrest was occurred at operating table. Promptly, open thoracotomy was performed under endotracheal intubation. There was found left ventricular laceration about 3cm in length, therefore primary closure of lacerated ventricle was done and open cardiac message, too. But ventricular fibrillation was remained. Myocardial fibrillation was disappeared after operation of defibrillator internally at 20 W/sec and 40 W/sec for 30 minutes. Thereafter, operation was finished successfully. This patient was admitted in our hospital for 32 days and discharged.