기도를 침범하는 선천성 기형 환자의 마취경험 -증례 보고- = An Experience of Anesthesia of Congenital Anomaly with Airway Involvement - 46 case report-

다국어 초록 (Multilingual Abstract)

As the improved medical techniques and environmental changes
have increased the frequency of general anesthesia for uncommon
congenital anomalies. The airway management for a patient with
congenital anomaly gives significant challenges to the anesthesiologist.
The purpose of this report is to review the authors’ experience
with airway management and ventilatory support during the perioperative
period in children with congenital anomalies with airway
involvement, and to summarize anesthetic implications associated
with particular congenital anomalies by literature review. Total 46
cases of general anesthesia for operation of congenital anomalies
were performed from January 2000 to August 2005 in our hospital.
Most common congenital anomaly is a Down syndrome (17 cases,
37%), and most common cause of surgery is the orthopedic surgery
for correction of deformed spine (18 cases, 41%). Direct laryngoscopy
was successfully used to establish an airway in 35 (76.1%)
cases, whereas 5 (11%) cases required the use of fiberoptic bronchoscopy
to establish an airway before surgery.