유소아 개심술 마취의 임상적 고찰

To evaluate anesthetic experience during open heart surgery, 145 cases of patients under 15kg of body weight from January 1950 to June 1982 were analyzed according to age, sex, technuque of anesthesia, anesthetics, premedicants, muscle relaxants, flow rates and mortality. The results were as follows : 1) Premedicants were mainly atropine, meperidine, hydroxyzine, trifluprornasine and morphine. 2) Induction agents were thiopental in acyanotic group, but cyanotic group were mainly used ketamine. 3) The inhalation anesthetics that were hatothane, methoxyflurane, N9O and enfturane were used in acyanotic group but cyanotic group did not used. 4) Early stage of open heart surgery, galtamine were mainly used but now, pancuronium were used. 5) During oaraiopulrnonary bypass, the lowest temperature were mean 27`c and flow rate were 80~ 100 ml/kg/m`. 6) Overall mortality was 17.2%.