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KMID : 0878620010050020058
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Korean Journal of Pediatric Anesthesia
2001 Volume.5 No. 2 p.58 ~ p.64
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Clinical Investigations of 66 General Surgical Newborn Babies within the Age of 24 Hours
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Seung Ik-Sang
Kim Dong-Won
Shim Jae-Chul
Yoo Hee-Koo
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Abstract
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Background: Newborn babies within the age of 24 hours are in a very vulnerable period of their life and they have several considerable problems with anesthesia and surgery; airway maintenance, cardiovascular response, respiratory care, central and autonomic nervous system, renal system, fluid and electrolyte balance, metabolism and thermal homeostasis, pharmacological reaction, and combined congenital diseases. We analyzed 66 cases clinically to review the anesthesia results.
Methods: Retrospectively we analyzed 66 cases of newborn babies within the age of 24 hours. They all received general surgery from 1973 to 1998 in our pediatric surgery department.
Results: The rate of male vs female was 1:1.4 of the operated diseases, gastroschisis and omphalocele had the highest incidence (45.5%), tracheo-esophageal fistula (28.8%), sacrococcygeal teratoma (12.1%) followed. The duration of the operation was around 60 minutes in almost all cases except a tracheoesophageal fistula case (117.6±24.1 min). Twenty-five cases (37.9%) had a combined congential malformation. Awake endotracheal intubation was performed in forty-three cases (65.2%). Nondepolarizing neuromuscular blockers were not used in forty-seven cases (71.2%).Halothane as an inhalation anesthetic was mainly used (86.4%), and a closed breathing circuit system was used in 89.4% of the cases.
Conclusions: We reported the analyzed results of surgery- and anesthesia-related data about general surgical newborn babies within the age of 24 hours. To achieve the safety and benefits when operating on newborn babies, pediatric surgeons and anesthesiologists will have to use more modern techniques and knowledge about newborn babies and clinics.
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KEYWORD
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Anesthesia, pediatric, newborn, surgical disease, Anesthetic technique, awake intubation, complication, postoperatives
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