Clinical Experience of Anesthesia for Open Heart Surgery - 100 cases.
10.4097/kjae.1990.23.4.630
- Author:
Kyeong Tae MIN
1
;
Whun Kon PARK
;
Soon Ho NAM
;
Chan KIM
;
Bong Mu IHN
;
Dae Ja UM
;
Ryoung CHOI
Author Information
1. Department of Anesthesiology, Wonju Medical College, Yonsei University, Wonju, Korea.
- Publication Type:Original Article
- Keywords:
Open heart surgery;
Anesthesia
- MeSH:
Anesthesia*;
Arrhythmias, Cardiac;
Arterial Pressure;
Body Temperature;
Cardiac Output, Low;
Cardiopulmonary Bypass;
Diazepam;
Female;
Heart Defects, Congenital;
Heart Diseases;
Heart Valve Diseases;
Heart*;
Humans;
Hydroxyzine;
Ketamine;
Morphine;
Thoracic Surgery*;
Wound Infection
- From:Korean Journal of Anesthesiology
1990;23(4):630-637
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To evaluate the results of cardiac anesthesia during open heart surgery using cardiopulmonary bypass, the cases of 100 patients from December 1986 to May 1989 were reviewed. The results were as follows: 1) There were 56 patients with congenital heart disease (male 32, female 24) and 44 patients with acquired heart disease (male 14, female 30). 2) The mean age of patients with congenital heart disease was 17.0+/-10.0 years and the mean age of patients with acquired heart disease was 41.2+/-14.6 years. 3) There were 54 cases of acyanotic heart disease and 2 cases of cyanotic heart disease among congenital heart disease, and 41 cases of valvular heart disease. 4) Glycopyroolate and hydroxyzine were mostly used as premedicants and morphine was used in some cases of acquired heart disease. 5) Anesthesia was induced by morphine and diazepam mostly while ketamine was used in some congenital heart disease. 6) The periods of cardiopulmonary bypass and aortic cross clamp in acquired heart disease were twice as long as in congenital heart disease. 7) The lowest body temperature during cardiopulmonry bypass was 26.7+/-2.5 degrees C in congenital heart disease and 24.1+/-3.6 degrees C in acquired heart disease while mean arterial pressure was maintained between 50-80 mmHg. 8) There were 33 cases of complications in 19 patients in which wound infection and arrythmia were most predominant. Four fatalities resulted from 3 cases of low cardiac output syndrome and 1 case of cerebrovascular disease.
