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Korean J Anesthesiol > Volume 13(2); 1980 > Article
Korean Journal of Anesthesiology 1980;13(2):188-194.
DOI: https://doi.org/10.4097/kjae.1980.13.2.188   
Clinical Study of Anesthesia for Operation of Congenital Anomalies in Neonates .
Choon Hi Lee, Myung Sook Chung
Department of Anesthesiology, Ewha Womans University, College of Medicine, Seoul, Korea.
Abstract
Total 65 cases of general anesthesia for operation of congenital anornalies in neonates were performed in Dept. of Anesthesiology, Ewha Womans University Hospital from. January, 1970 to March, 1980. The followings are results of the clinical observations on 65 cases; l) In age and sex distribution of 65 cases, 50 cases(77%) were male and 15 cases(23%) female and the ratio of male to female was 3.3: 1. The 65 cases were divided into 3 age groups and 37 cases(57%) were under 10 day-old age. 2) Indicatians for operation of congenital anomalies were, in order of frequency, GI tract anomalies(62%), head and neck(15%) and abdominal wall anomalies(14%). Among the GI tract anomalies, imperforated anus was 20%, congenital hypertrophic pyloric stenosis 18% and congenital small bowel obstructoin anomaly 9%. 3) Of the total caaes, 86% (56 eases) had general anesthesia by means of endotracheal intubation with non-rebreathing system and 14% (9 cases) via mask with non-rebreathing system. 4) The primary agent of anesthetics were, in order of frequency, O2,-N2O-Halothane(60%), O2,-N2O(l8%) and O2,-Ether(7.7%). 5) The average amount of intravenous fluid administration was 30ml. 6) The average amount of blood loss and whole blood transfusion were 50 ml and 43 ml, respectively. 7) In birth order of 30 cases(46%) were first or second babies although authors couldn't be informed of the orders of siblings from medical records exactly. 3) Three cases had history of administration of sedatives or herb medicine or certain drugs for hepatic and renal diseases during their pregnancy. 9) Three cases(4. 6%) had associated anomalies, such as imperforated anus with vaginal cyst, imperforated anus with hydrocephalus and cleft lip or cleft palate with polydactylism.


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