A Case of General Anesthesia for a Patient of Congenital` Esophageal Atresia with Tracheo-esophageal Fistula / 대한마취과학회지

The authors have experienced a case of general anesthesia for a patient of congenital esophageal atresia with tracheo-esophageal fistula. Paramount importance of particular attention to the maintenance of patent airway and the removal of secretions whenever necessary for the patient's safety throughout anesthetic and postonesthetic period has been stressed. General anesthetics which irritate the respiratory tract and increase secretions must be avoided. Keeping the patient in an incubator with oxygen and humidity after anesthesia is recommended. In case of respiratory distress due to gastric dilatation, gastrostomy under local anesthesia before operation may be helpful.

The Failure to Regain Consiciouseness after General Anesthesia / 대한마취과학회지

A 4 years old Korean male child was presented with delay of regaining consciousness after general anesthesia for the correction of the right hand deformity and limitation of motion. In 1961 Frederich described the failure to regain consciousness after general anesthesia. 1.Hypoxia. 2. Excess of CO2.3. Anesthetic overdose, surgical shock, hypotension. 4. Miscellaneous factors: cerebro-vascular accidents, metabolic acidosis, hypoglycemia, uremia, hemorrhage, cerebral thrombosis, electrolyte imbalance. In this case, we believed that hypoxia was responsible for this complication.

Brachial Plexus Paralysis and Radial Nerve Paralysis Following General Anesthesia / 대한마취과학회지

Two cases of upper extremity paralysis following general anesthesia due to malposition paralysis are reported. The one case is brachial plexus paralysis following general anesthesia for hemicoleetomys and the other case is radial nerve paralysis following general anesthesia for radical hysterectomy. In the above two cases, there was not any neurological disease and no trauma history before operation. There was no specific finding in the labaratory test and X-rays. Other authors reported that most of postoperative nerve damage was due to irritating drugs, trauma, hypotension, hypoxia, hypothermia, diabetus mellitus. and malposition. But in the above two cases, we believed that there was no causative factors except malposition.