A Clinical Study of Anesthesia for Emergency Surgery / 대한마취과학회지

ABSTRACT

We have performed 1,822 anesthetics for emergency surgery at the Kyung Hee University Hospital from Jan 1977 to June, 1978, which were analyzed clinically and statistically according to age, sex, physical status, anesthetic method, duration, peroperative patient state and postoperative mortality. The results were as follows. 1) More than half of the total cases were patients in the second and third decade of age. 2) According to the A.S.A. classification of physical status, patients in emergency class II were 51.4% 3) Emergency surgery was 26.1%, of total surgical cases. 4) The most frequent emergency operations were done by general surgery(42.5%), and orthopedic surgery (25. 0%). 5) Most common diseases, in order, were appendicitis(482 cases), trauma of upper extremities(236 cases), Cesarean section(196 cases), ectopic pregnancy(135 cases), trauma of lower extremities(97 cases), and panperitonitis(80 cases). 6) The most common anesthetic technique for emergency surgery was general anesthesia (84.6%) and next was spinal anesthesia(12.5%). 7) The average duration of the 1, 822 emergency surgical procedure was two hours and twelve minutes. 8) The cases with transfusion during operation were 23.8% (434 cases) of the total cases (1,822 cases), 9) Postoperative mortality rate within 2 days was 1.0%(18 cases).