医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
小児麻酔の問題点と術前術後の管理
山下 九三夫岩井 誠三
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ジャーナル フリー

1966 年 20 巻 9 号 p. 877-884

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“Golden hour” within 24 hours after birth must be appreciated by obstetric and pediatric doctors whereas the operations of infants are apt to postponed without preparation.
One-side-ear stethoscope and esophageal stethoscope are beneficial for the anesthetists to notice the cardiac changes of infants during anesthesia and bradycardia must be cared as the sighs of hypoxia, hypercapnea, overdosis narcotics, the effect of SCC and increased intracranial pressure. For the arrhythmia with hyperpyrexia during the anesthesia of “Arthrogryposis” case was treated by the hypothermia and Beta adrenergic blocking agent “Inderal”.
Awake intubation must not be abused for the cases of hiatus hernia and congenital esophago-broncheal fistula and intubation must be carefully done for the cases of “Pierre-Robin” and “Treacher-Collins” syndrome. Broncheal toilet with 0.45% NaCI 1-2ml. is good indication for the infants in the case of dyspnea by sticky mucous in trachea and bronchus.
F. I. S. score is a nice guide for the evaluation of the pre- and postoperative evaluations of pediatric surgical patients. When the patient's score is under 9 preoperatively, more careful attention should be taken for the selection of anesthesia and operation.

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