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양안간 격리증(Orbital hypertelorism)교정을 위한 Major Craniofacial Treatment 의 마취 경험 1 예
박영철,박경숙,김순점,길찬일,신정순,채병국 대한마취과학회 1982 Korean Journal of Anesthesiology Vol.15 No.3
It is a well known fact that the major craniofacial operation is a complicated procedure. In this procedure, the operative period is extremely long and blood loss is large, extremely difficult to estimate and continuous into the early postoperative period. The air way should be protected intraoperatively and postoperatively due to frequent airway obstruction. We had experienced of an anesthetic management for correction of hypertelorism. Anesthetic management of this case should focus on reduction intracranial pressure and volume. We had performed neurolept anesthesia with controlled hyperventilation. The careful monitoring and frequent measuring of blood gas analysis, hematocrit, hourly urine output, electrolytes, body temperature, CVP, ECG, and acid-base balance status are recommend. We report a case of anesthetic management for a patient.
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Cushing`s Syndrome 환자의 마취 1 예 보고
박영철,박경숙,문숙희,김순점,길찬일,신정순 대한마취과학회 1982 Korean Journal of Anesthesiology Vol.15 No.3
We have experienced the anesthetic management of bilateral adrenalectomu in a 17-years old male, who was diagnosed as Cushing's syndrome. Anesthetic problems in Cushing's syndrome are hypertension, tachrcardia, hyperglycemia, hypokalemia and acute adrenal insufficiency. Therefore anesthetic management of this disease should focus on the thorough understanding of pathophysiology and adequate control of preoperative condition. Careful monitoring of the patient and frequent measurement of electrolytes and acid base balance status during the operation are also needed. We report the case of anesthetic experience of Cushing's syndrome and review anesthetic choice and management for better outcome of the patient.
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박영철,박경숙,문숙희,김순점,길찬일,신정순 대한마취과학회 1982 Korean Journal of Anesthesiology Vol.15 No.3
Jehovah's Witness patients who require an operation represent a challenge to the physician because of the patients' refusal to accept a blood transfusion. We report 5 years experience with a consecutive series of 12 Jehovah's Witness patients in the Obstetric & Gynecological department who underwent operation. In 12 cases, death ensued in one patient who underwent subtotal hysterectomy for ectopic pregnancy. The cause of death was severe anemia & complicated respiratory problems. We discussed the problem of elective & emergency operations on Jehovah's Witness patients. Anesthesiologists must understand legal aspects, as well as and ethical, if they are to conduct their practice as an art as well as science.
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