No abstract available.
Thanatophoric Dysplasia*

Since 1971, (for 14 years) we have run the oxygen therapy unit in the Department of Anesthesiology. During this time, unauthorized personnel have carried out the duties in the unit under the supervision of anesthesiologist. We came to realize the necessity of having educated personnel to do the work in the oxygen therapy unit. 1) Our data on oxygen therapy increases yearly because the use of respiratory care is gradually increasing. 2) The postoperative use of a respirator increases due to the increase of critical surgical patients such as those who have had open heart and cerebral aneurysm surgery. 3) Hyperbaric oxygen treatment has decreased yearly. 4) Oxygen therapy was most frequently used in patients in the first 10 years of life. 5) The cases which had oxygen treatment were: pneumonia, atelectsis, pulmonary edema, CVA, head trauma, Gullian-Barre syndrome, sepsis, asthma and tetanus in that order. 6) Seasonally, the cases were more frequent in the spiring and fall.
Anesthesiology ; Asthma ; Craniocerebral Trauma ; Heart ; Humans ; Intracranial Aneurysm ; Organization and Administration ; Oxygen* ; Pneumonia ; Pulmonary Edema ; Seasons ; Systemic Inflammatory Response Syndrome ; Tetanus ; Ventilators, Mechanical

Epontol is well known as an ultra-short-acting intravenous anesthetic which can be used for minor surgery. This case report is to present the possibility of cardiac arrest while using Epontol in a patient with heart disease because its pharmacological action causes acute hypotension due to myocardial depression and histamine release. This 30 year old female who had a history of rheumatic fever with incomplete RBBB manifested by ECG, was admitted with vaginal bleeding and 500 mg of 5% Epontol was .administered for D % C. The patient appeared to have acute cyanosis immediately after Epontol administeration, followed by cardiac arrest. Despite cardiac resuscitation was performed adequately, the patient remained comatose for 1 year and 4 months and died of respiratory failure with sepsis.
Anesthesia, Intravenous* ; Coma ; Cyanosis ; Depression ; Electrocardiography ; Female ; Heart Arrest* ; Heart Diseases ; Histamine Release ; Humans ; Hypotension ; Minor Surgical Procedures ; Propanidid* ; Respiratory Insufficiency ; Resuscitation ; Rheumatic Fever ; Sepsis ; Uterine Hemorrhage

Conjunctival edema in surgical patients is known to be a complication resulting from various causative factors. We have observed 30 cases during genral anesthesia in the last 5 months. They were analyzed in terms of distribution of age, sex, blood loss, transfusion and appearence of edema during general anesthesia. 1) Ether is known as an anesthetic to cause it. 2) Position of patient (Trendelenburg position). 3) Mechanical disturbance of venous return such as open heart surgery and neck surgery. 4) Continuous positive pressure ventilation. 5) Reduction of plasma oncotic pressure. (l.V. fluid) 6) Circulatory overloading. 7) Miscellaneous local factors. Therefore, conjunctival edema can be avoided by prevention of the above factors.
Anesthesia ; Anesthesia, General* ; Edema* ; Ether ; Humans ; Neck ; Plasma ; Positive-Pressure Respiration ; Thoracic Surgery

In the present study, an effort was directed to assess the changes of hepatic ensymes according to the exposed in short and long surgical cases under halothane anesthesia. 60 surgical cases were studied in two different group. Halothane anesthesia was given for less than 2 hours in the first group of 30 cases and for more than 2 hours in the second group of 30 cases. The results were compared with the normal values and summarized as follows: In the first group, the changes after halothane exposure for less than 2 hours were negligible. In the second group, SGOT and SGPT were elevated significantly and the number of enzyme-elevated cases were 5~6 greater in group 1.
Alanine Transaminase* ; Anesthesia* ; Aspartate Aminotransferases* ; Halothane* ; Reference Values

No abstract available.
Interleukin-2* ; Interleukins* ; Killer Cells, Natural*

Postoperative hoarsness is a rather common complication resulting from endotracheal intubation. However prolonged hoaraness without organic damage can hardly be seen as a post intubation complication. We have two cases with prolonged hoarsness Postoperatively. The first case, a 50-years old woman, was observed to have an arytenoid fracture and dislocation on the left side after a neck mass was removed under general anesthesia. The second case, a 28-years old woman, was found to have a right vocal cord granuloma in association with progressing hoarsness after a cesarean section was done under general anesthesia. We concluded that the prolonged hoarsness with arytenoid fracture and vocal cord granulom had resulted from the endotracheal intubation.
Adult ; Anesthesia, General ; Cesarean Section ; Dislocations ; Female ; Granuloma* ; Humans ; Intubation ; Intubation, Intratracheal* ; Middle Aged ; Neck ; Pregnancy ; Vocal Cords*

Recently, epidural tunnelling was introduced for the convenience of keeping a catheter inserted for a long period of time. We had 15 cases in which used epidural tunnelling for the tratment of intractable pain mainly in terminal cancer patients. Epidural puncture with cannulation was carried out in the same technique as used for epidural anesthesia. After the subcutaneous epidural tunnelling was done from the site of the epidural entry to the anterior chest, just under the skin using a tunnelling device, the catheter was threaded through the tunnelling needle at the sit of the outlet, was fixed and the tip of the catheter was connected to a filter. Five ml(2mg) of saline diluted morphine can be given at home as needed when intractable pain occurs. This long-term treatment of intractable pain by morphine injections through the epidural cannula place by subcutaneous tunnelling, is very convenient for the patient's daily routine and a better alternative in such a situation. Our technique, its advantages and problems were described in this paper.
Anesthesia, Epidural ; Catheterization ; Catheters ; Humans ; Morphine ; Needles ; Pain, Intractable* ; Punctures ; Skin ; Thorax

It is a known fact that the increase of intraocular pressure results from the action of succinylcholine, endotracheal stimulation to carina, bucking and coughing etc during the induction arid recovery periods. Efforts have been made by several inveatigators to prevent intraocular hypertension by giving trimetaphan, inderal or curare. However, their effects were not remarkable. In this study, lidocaine Img/tg was administered intravenously to selectee patients 2-3 minutes hefore induction ; followed by regular induction with pentothal, succinylcholine and incubation. Intraocular pressures were measured at the pre-induction and post-intutation time, and every 30 minutes until the early recovery period, thereafter. The result of this study showed that the post-intubational increase of intraocular pressure was prevented in 86.7% of the lidocaine pretreated cases. The increase of post-extuba-tional intraocular pressure was also reduced significantly in the lidocaine pretreated group-as well. We came to the conclusion that lidocaine pretreatment technic can be used effectively to prevent intraocular hyperteilsion caused by induction and extubation in clinical practice.
Cough ; Curare ; Humans ; Hypertension ; Intraocular Pressure ; Lidocaine* ; Propranolol ; Succinylcholine ; Thiopental ; Trimethaphan

We report here on a new technique using polymethylmethacrylate to manage vertebral osteoporotic compression fractures in three patients. These patients presented with acute back pain that manifested itself after minor trauma. Osteoporotic compression fractures were diagnosed via plain X-ray and magnetic resonance imaging studies. The patients were treated with absolute bed rest and non-steroidal anti-inflammatory drugs. Despite of the conservative treatment, the patients experienced severe, recalcitrant and progressive pain. The vertebrae were collapsed over 50% or kyphotic deformity was seen on the radiologic materials. We performed a new technique called lordoplasty, which is derived from percutaneous vertebroplasty. The patients experienced a reduction in pain after the procedure. The wedge and kyphotic angles of the fractured vertebrae were significantly restored.
Aged ; Female ; Fractures, Compression/radiography/*surgery ; Humans ; Magnetic Resonance Imaging ; Orthopedic Procedures/*methods ; Osteoporotic Fractures/radiography/*surgery ; Spinal Fractures/radiography/*surgery ; Thoracic Vertebrae/*injuries/radiography/surgery