麻酔・呼吸管理 : 極小未熟児・超未熟児及び気道系疾患を中心として(II 重症症例の治療の進歩, 25周年記念シンポジウム論文)

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The development and progress of pediatric anesthesia depend upon the development of pediatric surgery. In this paper, we select the cases of (1) extremely premature neonates and super extremely premature neonates and (2) airway management in surgery for tracheal stenosis and then report the method of anesthetic management during surgery and its problems. (1) Since 1978, we have experienced 36 cases of extremely premature nenates and 11 cases of super extremely premature nenates. The anesthesia for these cases has changed from GOF, J-R to NLA. During the surgery, it is very important to observe the PaO_2. SaO_2, body temperature, infused volume and Ca and glucose level. (2) In airway management, first we tried to intubate from operational field and secondly tried to ventirate by HFJV, but our experience is that neither of these methods is sufficient. Therefore, we consider using ECMO method. During the surgery of tracheal stenosis, we have to observe the patient by measurement of SaO_2, PaO_2 and PaCO_2.
特定非営利活動法人日本小児外科学会の論文
1989-10-20