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분야
pptx2.Present illness
3.History
4.Review of systems
5.Physical Examination
6.Laboratory Findings - 2010. 5. 6.
7.Airway Examination
8.Treatment plan - Surgery
9.Anesthetic plan
10.Pediatric anesthesia notes
11.Inguinal Hernia
Anxiety, Stress
Congenital disease – Systemic problem
Anatomy – Airway control is difficult
Upper respiratory infection (Virus)
Induction
Small nasal cavity, Nasal respiration dominant, Small vocal cord & trachea , Large tongue & Lymphatic tissue – Airway obstruction
Hypotension, Bradycardia
Not cooperation – Ketamine
Maintenance
N2O – hyperthemia
Halothane – Severe myocardiac suppression
Desflurane – Airway complication (cough, Laryngeal spasm)
Recovery
Extubation : Consciousness is recocvery & regular respiration (Complication - apnea, laryngeal spasm, cyanosis, unsaturated O2)
Postanesthetic care unit : Recovery is faster than adult (Delirium, excitation, indignation - Binding)
Indirect inguinal hernia :
Protrudes through the inguinal ring
Ultimately the result of the failure of
closure of the internal inguinal ring
Direct inguinal hernia :
enters through a weak point in the fascia
of the abdominal wall (Hesselbach triangle)
Harrison's Principles of Internal Medicine 17th
Edition
