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기관식도루(氣管食道瘻)를 동반한 선천성식도폐쇄 전신마취 1례보고
김병권,박동술,최현만 대한마취과학회 1972 Korean Journal of Anesthesiology Vol.5 No.1
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 stresaed. 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.
김병권,박동술 대한마취과학회 1969 Korean Journal of Anesthesiology Vol.2 No.1
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.
李正雄,朴東述,金炳權 慶北大學校 醫科大學 1971 慶北醫大誌 Vol.12 No.1
The 44 years old house wife whose diagnosis is myastenia gravis, was operated on ovarian cyst under general anesthesia with nitrous oxide, halothane and oxygen, except ether because of the potent of muscle relaxation. This patient was intubated easily 30㎎ of succinylcholine chloride. The authors were found the following result.; 1. Before the anesthesia respiratory disease or abnormalty should be checked out because respiration is depressed by disease itself. 2. During assistance respiration under the general anesthesia, depolarizing agent may be used less than normal dosage but muscle relaxant should not be used when assistance respiration is not possible.
전신마취후 발생한 상박신경총마비의 1례와 요골신경마비의 1례
김병권,박진웅,박동술 대한마취과학회 1969 Korean Journal of Anesthesiology Vol.2 No.1
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.