@article{oai:mdu.repo.nii.ac.jp:00001061, author = {桝田, 伸二 and 村田, 洋}, issue = {2}, journal = {松本歯学}, month = {Aug}, note = {application/pdf, We carried out a statistical study of 80 cases of general anesthesia in cleft lip and palate surgery at the central operating room of the Kobe Children's Hospital from April 1987 to October 1988. These cases can be classified by operative procedure, into four groups: 21 cases of lip repair, 29 cases of palatoplasty, 25 cases of secondary repair of cleft lip, and 5 cases of secondary repair of cleft palate. There were slightly more females (56%) than males (44%). The average age of lip repair cases was from 3-5 months: for palatoplasty it was 1-2 years of age. Associated deformities and complications mainly observed before anesthesia, included ventricular septal defect (4 cases), Pierre Robin Syndrome (2 cases), and mild fever (5 cases). For premedication, a single administration of atropine was used in the majority of the lip repair & palatoplasty cases. However, in secondary repair of cleft lip cases a combination of atropine and a minor tranquilizer was most commonly used. Induction of anesthesia was carried out by a method of slow induction with nitrous oxide, oxygen, and halothane in 70 cases (87.5%). Maintenance was achieved with nitrous oxide, oxygen, and enflurane in 71 cases (about 90%), because of the operator use of epinephrine in the surgical field for hemostasis. Orotracheal intubation was performed in all cases. The duration of anesthesia was between 1.5-2 hours in most of the cases. The most common complication observed during or after anesthesia was fever or excitement; however, in the postoperative period no serious complications were observed.}, pages = {201--206}, title = {唇裂,口蓋裂形成手術の麻酔の検討}, volume = {17}, year = {1991} }