Anesthetic Consideration in Emergency Cesarean Section / 대한마취과학회지

The authors analyzed statistically, 2,290 cases of anesthesia for emergency Cesarean section perfomed at Ewha Womans University Hospital from January 1978 to December 1982. The results are as follows: 1) The incidence of emergency Ceaarean section was 73.8% of total Cesarean sections. 2) The most common indication was CPD(41.4%). 3) The most common gestational age group was 38-42 weeks(85.2%). 4) In NPO time, general anesthesia was twice in more than 6 hours, but spinal anesthesia was twice in less than 6 hours. 5) General anesthesia was increaaed but spinal anesthesia was decreased during the five year period. 6) In estimated blood loss, less than 1,000 ml was 80.0%. 7) Neonates with poor Apgar score (0-3 point) were 5.9% which related to prolonged induction-delivery time and general anesthesia. 8) A drop in blood pressure developed within 5 minutes in 58.3% after spinal anesthesia.

Acute Pulmonary Edems during the Operative and Post-operative Period under General Anesthesia - 7 case report / 대한마취과학회지

The author have had experience with seven cases of acute pulmonary edema. There are many predisposing factors for acute pulmonary edema, namely, left ventricular failure due to cardiac disease or overloading, hypoalbuminemia, pulmonary capillary endothelial damage from bacterial infections, toxins or irritant gases, rarely central nervous system injuries and pulmonary hypersensitivity reactions. For these presented cases, we believe that overloading, hypoalbuminemia, bile pneumonitis were the causative factors. There are many preventive measures and treatment for acute pulmonary edema. We conclude that prompt recognition and attention by the anesthesiologist are the most important preventive measures.