Clinical Evaluation of Fluothane Anesthesia for Cesarean Section / 대한마취과학회지

In 97 cases of uncomplicated Cesarean section proceeding under 0.5% fluothane anesthesia with N2O and O2, 2.5% Pentothal sedium(clinical induction doses) was enough until umbilical cord clamp without any supplemental doses but muscle relaxation from succinylcholine might not be potentiated with 0.5% fluothane. On the other hand, Apgar score and postpartum uterine contractility was depending upon duration of anesthesia but it was not so serious problem. Also, anesthesia induction and recovery was rapid, and post operative pulmonary and other complication, even vomiting, did not occur. Conclusively, it is interesting that low concentration of fluothane with nitrous oxide are probably ideal anesthesia method for Cesarean section.

A Case of Acute Hhperpyrexia during Diethyl Ether Anesthesia: A Case report / 대한마취과학회지

The authors have experienced a case of acute hyperpyrexia with convulsion during diethyl ether anesthesia, which is rare and its etiology not well known.

Clinical Evaluation of Electro-convulsive Therapy under the General Anesthesia / 대한마취과학회지

In 1938 Cerletti described a method of producing convulsions by eleetricity and began its use in the treatment of schizophrenias. In avoider to avoid fractures or dislocation and to diminish the risk, convulsion may be modified by means of drugs which inhibit the action of acetylcholine at neuro-muscular junctions and often the muscular contractions combining ultra short acting barbiturate especially thiopental sodium. Since ultra short acting barbiturat, like thiopental, require postanesthesia supervision of the patient for up to an hour, the recentlyintroduced ultrashort-acting nonbarbiturate anesthetic agent, propanidid, was investigated for comparison with thiopental sodium. One hundred psychiatric patients under the diognosis of involutional melancholia, manic depressive psychosis, schizophrenia and neurotic depression, divided into two equal groups, were subjected to electroconvulsive therapy by thiopental-succinylcholine (Group 1) and propanidid-succinyl choline (Group 2). In our study, there were no definite change in blood pressure and heart rate after electroconvulsive therapy in both group. Duration of apnea in Group 2 averaged 63 seconds longer than in Group 1, but awakening and ambulation averaged 5 minutes and 40 minutes shorter than in Group 1. Complications after E.C.T. were minimal and not significant different between two groups.