| Abstract | The first cardiac operation in Korea was performed in 1956 and was a closed mitral commissurotomy. The first open heart surgery which was ASD repair was performed in 1959. There is 46 hospitals where cardiac operations are undergone in 1993. Total number of cardiovascular surgery in 1992 was 6,939 and 66.5% of them was congenital cardiovascular operation. More than 200 cardivascular surgeries were performed at each of 7 hospitals in 1992. Twenty-two out of 46 hospitals have fixed cardiac anesthesiologists and 17 hospitals have one cardiac anesthesiologist each. Ninety-seven anesthesiologists involve in Cardiovascular anesthesia in Korea. All cardiac anesthesiologists monitor Lead II (30/46) or II & V5 (16/46) and radial arterial pressure. Pulmonary arterial and left atrial pressures are monitored at 22 and 19 hospitals respectably. Anesthesthetic induction agents are fentanyl, thiopental and benzodiazepine, in the adult cardiac cases and include fentanyl, ketamine, thiopental and benzodiazepine for the pediatric cases in the frequency order. Anesthesia is mantained with fentanyl, isoflurane and enflurane for both adult and pediatric cardiac operations. The cardiopulmonary bypass is managed by the cardiac surgeon at 78% of hospitals in Korea. Fentanyl, benzodiazepine and morphine are administered during cardiopulmonary bypass period. The cardiac surgical department manages the postoperative care for the cardiac patients at 56% of hospitals although an anesthesiologist is the director of the intensive care unit. |
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