Perioperative Management of Newborn Pharygeal Teratoma / 대한마취과학회지

An anesthesiologist must have full control of the patient's airway at all time. But he may occationally find himself in a very challenging and dangerous situation, where control of the airway is in question. The present case report describes parioperative management of newborn pharyngeal teratoms, including cafeful perioperative ovaluation of the upper airway and provision for a secure periope rative airway.

Clinical Study of Postoperative Pain Relief after Epidural Anesthesia with Morphine / 대한마취과학회지

In an attempt to find out the effect of epidural administration with morphine on postoperative pain relief, a small dose of morphine with a local anesthetic(lidocaine) was administered into the epidural space, either by lumbar or caudal approach. Morphine injected into the epidural space has been suggested to produce it's effect by direct action on the specific oplate receptor in the substantia gelatinosa of the posterior horn of the spinal cord. 90 patients who were anesthetized under epidural block in the Pusan Paik's Hospital, INJE Medical College, from May 1980 trhough Jan. 1981 were divided into the groups "Lidocaine alone" and "Lidocaine + Morphine". The number of patients of patients of the lumbar approach was 73 (81.1%) and of the caudal approach was 17(18.9%). The group "Lidocaine alone" numbered 45 cases which were injected with 2% lidocaine into the epidural space as an anesthetic. Group "Lidocaine + Morphine" also numbered 45 cases and received 2mg of morphine with 500 mg of 2% lidocaine as an epidural anesthetic. 0.2mg of 0.1% epinephrine was mixed to the anesthetic solution in all the above cases. The results of this study are as follows: 1) Alteration of arterial blood pressure during anesthesia was minimal within 30 minutes after injection of the epidural anesthetic in both groups. 2) Duration of postoperative pain relief in the group "Lidocaine + Morphine" was significantly extended comparing it to that in the group "Lidocaine alone". 3) Between the two groups, no significant difference was noted in recovery of spontaneous volding. 4) Complications were similar in both groups except for nausea and vomiting which occurred more frequently in the group "Lidocaine + Morphine"(8.9% and 6.7%, respectively) than in the group "Lidocaine alone" (2.2% and none, respectively). Any signs of CNS depression or neurologic sequelae were not observed.

General Anesthesia for Congenital Esophageal Atresia with Tracheo-esophageal Fistula - Report of two cases / 대한마취과학회지

The authors have experienced two cases of general anesthesia for operation of congenital tracheo-esophageal fistula and the results were obtained as follows. 1. The anesthetic agent should be selected as considering of lesser irritating to respiratory system and smaller amount of tracheobronchial secretion. 2. The infant circle absorber system has been preferred to the Ayres T-piece apparatus, because maintaining normal body temperature and removal of carbon dioxide easily. 3. Removal of secretion from trreheobronchial tree, intermittent positive pressure breathing, maintaining normal body temperature and humidity were thought to be necessary for the prevention and treatment of postogerative pneumonia or atelectasis.

General Anesthesia for Diaphragmatic Hernia in Children - Report of Five Cases / 대한마취과학회지

The authors have experienced five cases of general anesthesia for repair of diaphragmatic hernia in children, and following results were obtained. Whether it was congenital or traumatic in origin, prompt reduction and repair is desirable if accurate diagnosis was made and patients condition was acceptable, for increased postoperative survival rate and prevention of possible complications. When the intermittent positive pressure breathing was needed during preoperative, intraoperative or postoperative period, the greatest concern of anesthetist is that excessive positive ventilation should be avoid. The most important factors in this situation probably are the use of chest drainage, daily Roentgen-ray examination, and better use of postoperative ventilatory assistance, for prevention of postoperative atelectasis and other pulmonary complications.

Pulmonary Resuscitation on a Case of Respiratory Arrest due to Possible Acute Alcohol Intoxieation - A Case Report / 대한마취과학회지

A patient who had been admitted to the B.N.U.H. with coma and respiratory arrest from possible acute alcohol intoxication, has been treated with intensive care and discharged without any complication. It should be emphasized that a patient with respiratory arrest even due to unknown etiology must have continued intensive care, without giving up the patient.

Pulmonary Resuscitation on a Case of Respiratory Arrest due to Possible Acute Alcohol Intoxieation - A Case Report / 대한마취과학회지

A patient who had been admitted to the B.N.U.H. with coma and respiratory arrest from possible acute alcohol intoxication, has been treated with intensive care and discharged without any complication. It should be emphasized that a patient with respiratory arrest even due to unknown etiology must have continued intensive care, without giving up the patient.

Hyperbaric Oxygen Therapy on Pyoderma Gangrenosum - A case report / 대한마취과학회지

A 22 year-old-male-patient of Pyoderma Gangrenosum had been suffered from longstanding ulcers at his cheeks, nuchal region and upper back, which had been treated with corticosteroids and antibiotics without any effect. We have applied 49 times of hyperbaric oxygen therapy to the patient at 2.0~3.0 atmospheres absolute pressure. The pressure was increased for 15 min, then kept constant at the desired presseure for 30 min., and reduced to the atmospheric pressure within 5 min. The ulcer. had been treated with hyperbaric oxygen and revascularization was noted in the scars.

Hyperbaric Oxygen Therapy on Pyoderma Gangrenosum - A case report / 대한마취과학회지

A 22 year-old-male-patient of Pyoderma Gangrenosum had been suffered from longstanding ulcers at his cheeks, nuchal region and upper back, which had been treated with corticosteroids and antibiotics without any effect. We have applied 49 times of hyperbaric oxygen therapy to the patient at 2.0~3.0 atmospheres absolute pressure. The pressure was increased for 15 min, then kept constant at the desired presseure for 30 min., and reduced to the atmospheric pressure within 5 min. The ulcer. had been treated with hyperbaric oxygen and revascularization was noted in the scars.