관상동맥우회술을 위한 마취관리

Abstract

This report is concerned with our clincal experiences of sixty one cases of anesthesia for coronary artery bypass grafting at the Dong San Medical Center during the period from Februry 1986 to September 1993. The results were as follows; 1) There were 41 men and 20 women with a mean age of 54 (25 to 79 years). 2) Among 61 cases, 17 cases (28%) were history of myocardial infarction. 3) Among 61 cases, single aortocoronary grafts were placed in 37 patients (60%), double or more grafts in 24 patients (40%). 4) The mean bypass time was 135±63.9 minutes and cross-clamp time was 45±23.5 minutes. 5) Glycopyrrolate, morphine or demerol, vistaril or lorazepam or veprin were used as premedicants. 6) 2% thiopental or 2% thiopental and fentanyl or midazolam and fentanyl were used as induction agents. 7) We have also used isoflurane and fentanyl as anesthetic agents in conjuction with nitrous oxide. 8) Succinylcholin and pancuronium or vecuronium were used for intubation. 9) Early mortality was 16.4% (10 patients) and poor ejection fraction was significantly associated with mortality rate. 10) perioperative myocardial infarction was most common complication.