耳鼻咽喉科領域における挿管麻酔の偶発事故とその対策

　緒言

　今日の外科領域においては，麻酔特に気管内挿管麻酔の発達と抗生物質の進歩が人類にこの上ない恩恵を斉しているものと言われている。それにも拘わらず，耳鼻咽喉科領域においては，局所麻酔のみで一応治療目的を達し得ると云う考えから，一般外科に比べて気管内挿管麻酔の発達が遅れ勝ちであることは否めない事実である。

　しかし，我科領域における挿管麻酔の応用に対する要望は，近年次第に高まり各種の発表も散見されるに至つた。

Severral cases out of 176 are reported, es-pecially as unwanted events in the cases sub-jected to endotracheal anesthesia in the field of ORL.

Occurrances and treatments are also refer-ed to.

Summaries discussed are as follows:

1) Any treatments are surpassed by pre-vention, or diligence is the price of safety.

2) In our field, both induction and mainte-nance of anesthesia must be carried out smoothly, and the depth of anesthesia during the procedure should be kept light enough.

3) The depth of anesthesia during the ope-rative procedures in middle and inner ear, the light one through combination anesthesia is better of choice, because the reflexes of brain nerves by which some important ane-sthetic signs are indicated.

4) It is desirable to make the patients re-cover the reflexes and enable to cough out the secretion by himself on the operating table immediately after the operation.

The secretion and blood in air way oeso-phagus or stomach should be suctioned fully before outtubation, and this will prevent the taking place of the post operative pulmonary complications or suffocation.