We made a clinico-statistical observation of infective patients undergoing general anesthesia or monitored anesthesia care during a ten year period (1990-1999) in the operating room at Okayama ...University Dental Hospital. The preoperative prevalence of syphilis, HBV, and HCV seropositivity, MRSA infection and other infections were retrospectively investigated in 2, 246 cases. In result, the total infective cases were 160 cases (7.1% of all), and the seropositivities of syphilis, HBV, and HCV, and MRSA infection were 0.6%, 1.6%, 4.6%, and 0.3% of all, respectively. HCV seropositivity was the most common and 64.4% of the infective cases. Elderly patients (>=65 yearsold) were 20.4% of all, and the percentage of infective cases in the elderly patients was high (10.7%), resulting from the increase in HCV seropositive elderly cases. Compared with the HBV seropositive cases, the percentage of the cases of liver dysfunction was significantly higher in the HCV seropositive cases . These findings suggested that a strong attention must always be paid to preoperative infection as a preoperative risk factor.
We made clinico-statistical observation on the postponed cases of pediatric general anesthesia under 15 years of age in Okayama University Dental Hospital during the past 11 years (April 1982-March ...1993). 1. The number of postponed cases of pediatric general anesthesia under 15 years of age was 7, and there were about six percent of all pediatric general anesthesia (121 cases) during the this period. 2. The cause of postponement in 5 of these 7 cases was respiratory complication owing to preoperative common cold. 3. The period of postponement ranged from 4 days to 4 months.
We made clinico-statistical observation on the pediatric patients under 13 years of age under general anesthesia for oral surgery in Okayama University Dental Hospital during the last 10 years (April ...1982-March 1992). 1. The number of cases under 13 years of age was 105, and there were about eight per cent of all operations under general anesthesia during the this period. 2. The cases of the operation for malformation were the most common and amounted to 33.3% of all. 3. The preoperative complications were respiratory problems, central nervous dysfunction, and the abnormality of ECG etc.. 4. Induction of anesthesia was performed with slow induction in 97 cases (92.3%), and GOF was mainly used. For maintenance of anesthesia, GOE was mainly used. 5. The intraoperative complications were arrhythmia, respiratory complication, and difficulty of intubation. etc.. 6. The postoperative complications were fever, respiratory complication, vomiting, and sore throat etc..
PDF
