Korean J Anesthesiol.  1994 May;27(5):487-492. 10.4097/kjae.1994.27.5.487.

Anesthetic Experience for Open Heart Surgery

• Park JC
• Lee KC
• Kim HS
• Cho YL

• KMID: 1752558
• DOI: http://doi.org/10.4097/kjae.1994.27.5.487

Abstract

This report is concerned with our clinical experience of 150 cases of anesthesia for open heart surgery at department of anesthesiology, In chon Gil hospital from Februry, 1990 to April, 1993. The results were as follows ; 1) Among 150 cases, 68 cases (45.3%) were congenital heart disease and 82 cases (54.7%) were acquired heart disease. 62 cases (41.3%) were males and 88 cases (58.7%) were females. 2) Glycopyrrolate, diazepam, morphine, were used as premedicants. 3) Fentanyl, ketamine, diazepam, thiopental sodium were used as induction agents and injected singly or in combination. 4) In congenital cyanotic heart diseases, ketamine was used as main anesthetic agent. In other heart diseases, fentanyl, isoflurane, diazepam were used. 5) Vecuronium was used for intubation and maintenance of muscle relaxation. 6) Overall mortality rate was 3.3% (5 cases) and the causes of death were low cardiac output, respiratory insufficiency, mediastinal infection.

Keyword

Open heart surgery

MeSH Terms

Anesthesia
Anesthesiology
Cardiac Output, Low
Cause of Death
Diazepam
Female
Fentanyl
Glycopyrrolate
Heart Defects, Congenital
Heart Diseases
Heart*
Humans
Incheon
Intubation
Isoflurane
Ketamine
Male
Morphine
Mortality
Muscle Relaxation
Respiratory Insufficiency
Thiopental
Thoracic Surgery*
Vecuronium Bromide
Diazepam
Fentanyl
Glycopyrrolate
Isoflurane
Ketamine
Morphine
Thiopental
Vecuronium Bromide