Korean J Anesthesiol.  1985 Jun;18(2):176-182.

Anesthesia for Emergeney Operations due to Traffic Aecidents

• Chung RK
• Lee GY
• Lee CH

Abstract

The authors analyzed statistically, 223 cases of anethesia for operations after traffic accidents at the Department of Anesthesiology, Ewha Woman University Hospital from January 1978 to December 1982. The results were as follows: 1) There was a upward trend in the numbers of patients undergoing surgery. 2) The ratio of male to female was 3.5:1. 3) In the distribution by age, the 4th decade numbered 49cases (22.2%), the 3rd decade numbered 48 cases (21.1%), and the 6th decade was 44cases(19.7%). 4) in the physical status by the American Society of Anesthesiologists, there were 63 cases (28.3%) in class 1, 54 cases (24.2%) in class 2, 27 cases (12.4%) in class 4E and 25 cases (11.2%) in class 3E. 5) There were 128 cases of elective surgery (57.4%) and 95% cases (42.6%) of emergency surgery. 6) Among 191 cases of general endotracheal anesthesia, 22 cases (11.5%) were already intubated or had a tracheostomy before the general anesthesia. 7) The premedicants(atropine sulfate, opioid and tranquilizer) were administrated in 143 cases(54.1%). 8) The head injuries numbered 153 cases. The extremities 124 cases and abdominal injuries numbered 9 cases. 9) 121 cases (54.3%) were done by orthopedic surgery, 80 cases(35.9%) by neurosurgery and 8 cases(3.6%) done by the dental surgery department. 10) In the anesthetic techniquie, general endotracheal anesthesia was used in 191 cases (85.7%): regional anesthesia in 32 cases which included 22cases(9.9%) of spinal anesthesis, and 8 cases (8.6%) of epidural anesthesia. 11) For the main anesthetic of the general endotracheal anesthesis halothane was used in 41 cases (18.4%) and balanced anesthesia (opioid, tranquilizer, neuromuscular blocking agent with nitrous oxide) was used in 138 cases (61.9%). 12) Fro the anesthetic period there were 90 cases (40.4%) which ran 1~2 hours: 47 cases (21.8%) ran less than 1 hour or ran 2~3 hours: 26 cases (11.7%) ran 3~$ hours and 13 cases (5.8%) ran more than 4 hours.

MeSH Terms

Abdominal Injuries
Accidents, Traffic
Anesthesia*
Anesthesia, Conduction
Anesthesia, Epidural
Anesthesia, General
Anesthesiology
Balanced Anesthesia
Craniocerebral Trauma
Emergencies
Extremities
Female
Halothane
Humans
Male
Neuromuscular Blockade
Neurosurgery
Orthopedics
Tracheostomy
Halothane