| A Clinical Analysis on Anesthetic Mangement in Patients with Oral and Maxillofacial Surgery. |
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Kwang Won Yum, Moeng Jin Kim, Il Woo Nam, Yong Lak Kim, Yu Jo Jung, Gwan Woo Lee, Kwang Woo Kim |
1Department of Oral adn Maxillofacial Surgery, College of Dentistry, Seoul National University, Korea.
2Department of Anesthesiology, College of Medicine, Seoul National University, Korea. |
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| Abstract |
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In all patients with oral and maxillofacial surgery under the general anesthesia from January 1986 to December 1988, a clinical analysis had been made on preperative physical status, preoperative complicating medical disease ar abnormal laboratory finding, intubation and anesthetic agent used including the age and sex distribation of patients and the surgical lesion. The following results were obtained: 1) The male patients were 1.3 times more than the female in sex distribution 2) The patients between 20 and 29 years old were the most in age distribution 3) The benign tumors were the most common surgieal lesion(20.2%) 4) Of the 1393 patients with oral and maxillofacial surgery, the l34 patients were observed to have the underlying medical diseases or abnormal laboratory findings preoperatively(9.6%). In these patients the abnormal findings on E. K. G were most common. 5) Of the l393 patients, the 1170 patients were classified physical status l. and there were 206 patients of physical status 2 and 17 patients of physical status 3. 6) Of 1393 patients, the intubation were performed through tracheostomy in 6 patients and the fiberoptic endoscope were used to secure the endotracheal intubation in 20 patients. In 3 patients the blind nasotracheal intubation were made to secure the endotracheal intubation. 7) The conventional laryngoscopic instrumentations for the oral or nasotracheal intubation were performed in 1355 patients(97.3%). 8) The use of O2, N2O and halothane for the general anesthesia was the most common method for the general anesthesia. |
| Key Words:
Clnial analysis; General anesthesia; Oral and maxillofacial surgery |
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