Anestesia videoendoscópica en el niño / Videoendoscopic anesthesia in the child

Se efectuó un estudio descriptivo y transversal de 457 pacientes, atendidos en los servicios quirúrgicos del Hospital Infantil Sur de Santiago de Cuba desde 1996 hasta 2011, con vistas a mejorar la calidad de la terapéutica anestésico-quirúrgica en niños y niñas, minimizar la estadía hospitalaria y disminuir los costos institucionales, entre otros aspectos. En la serie predominaron la colecistitis crónica, las afecciones ginecológicas y respiratorias, así como las enfermedades asociadas. Entre los fármacos preanestésicos primaron el diazepam, el midazolam y la atropina, utilizados en todos los pacientes; y entre los anestésicos de inducción, el tiopental en 335. Teniendo en cuenta que los resultados de las técnicas empleadas fueron satisfactorios y las complicaciones atribuibles a la anestesia, escasas, ello sentó las pautas para la asistencia a niños y adolescentes en dichos servicios.

A descriptive and cross-sectional study of 457 patients, attended at the surgical services of the Southern Children Hospital in Santiago de Cuba was carried out from 1996 to 2011, aimed at improving the quality of the anesthetic-surgical therapy in children, to minimize the hospital stay and to decrease the institutional costs, among other aspects. In the series, chronic colecystitis, gynecological and breathing disorders, as well as associated diseases prevailed. As the results of the applied techniques were satisfactory and the complications attributable to the anesthesia were scarce, it was possible to attend children and adolescents in this services.

Percepciones y conceptos acerca de la práctica anestésica: una mirada desde la perspectiva del paciente / Perceptions and concepts about anesthetic practice: a look from the patient's perspective

La atención integral de los pacientes incluye el conocimiento de sus características tanto demográfcas, personales como socioculturales. Este estudio fue realizado a partir de esta inquietud, enfocado en uno de los eventos más críticos en la atención de pacientes, el anestésico y el quirúrgico. Se llevó a cabo en la Fundación Santa Fé de Bogotá, en 144 pacientes, en quienes se aplicó un cuestionario antes de la consulta preanestésica, en el cual se indagaba sobre los principales temores y preocupaciones frente a la práctica anestésica, así como sobre los alcances y la preparación de los médicos anestesiólogos. Se obtuvieron resultados que muestran un reconocimiento claro a los médicos anestesiólogos como médicos especialistas y su importancia equiparable a la del cirujano; igualmente, se evidenciaron cuáles son los temores en la población al enfrentarse a un procedimiento anestésico.

Integral attention to patients includes obtaining all possible information about them such as demographics and personal and socio-cultural information. This study was done considering the concems that patients have regarding the two most critical events in patients’ attention: anesthesia and surgery. The study was done at the Fundación Santa Fé de Bogotá on 144 patients to whom a questionnaire was given before the pre-anesthetic consultation. The questionnaire contained questions about their main fears and concems when faced with anesthesia and on what they thought regarding the skills and training of the anesthesiologist. Results show that anesthesiologists are clearly recognized as doctors with a specialty. They are regarded as having the same importance as that of the surgeon. Also, results show the specific fears of patients regarding being anesthetized.

Anesthetic Informed Consent / 대한마취과학회지

Today, the medical disputes are increased with the background of increased awareness of human rights, depersonalization in patient-physician correlationship, commercialization of medieal delivery and non-existence of social compensation for medical damage. Especially the anes olagists worked at operative wards have the risk of several pmblems occurred from various surgical and medical causes, and be involved in legal action alleging malpractice. To reduce this problems of medical dispute, theoretically anesthesiologist must always establish the rapport with patients, and summary the patient's pertinent points of the history, results of physical exarnination, laboratory examination and interview, including a statement of any unusual risk, type of anesthesia planned, and the reasons for the choice of anesthesia after careful evaluation of patient's condition, and get the "informed consent" from patient. Therefore we investigated the statement of the informed consent for anesthesia in Korean general hospitals. Specific formula of anesthetic informed consent was used in only 7 hospitals (12.7%), and 19 of 55 generai hospitals (34.5%) get the informed consent in cases of high risk with cardiac, respiratory, central nervous system, hepatic and renal diseases.

Clinical Evaluation of Anesthetic Experience with 23,409 Cases / 대한마취과학회지

To evaluate previously performed anesthetic experience of 23,409 cases at the Chosun University Hospital from Jan. 1981 to May. 1991 were analyzed statistically according to sex, department, age, anesthetic agent, method, duration, medical insurance, emergency and physical status. The results were as follows: 1)Considering sexual difference, male patients were 51.5% and female patients were 48.5%. 2) The largest departmenet of surgery was general surgery. 3) The nember of medical insurance patients was remarkably larger than that of non-medical insurance patients. 4) According to age categories, third decade of life was most frequent. 5) General anesthesia had been used commonly than other anesthetic technique and halothane was most commonly used among the inhalational anesthetic agent. 6) According to the ASA claasification of physical status, class I patients were 36.2% and elective surgery ratio was 1.8:1. 7)In emergency operation, general surgery categories were most common and occupied 39.8% of total emergency operation. 8)Considering anesthetic duration, 1~2 hours duration group of anesthetic time was most frequent.