The Clinical Investigation of Pre- and Post-Operative Liver Function after Halothane Anesthesia in the Electric Burn Patients / 대한마취과학회지

After the clinical introduction of halothane, the problem of hepatotoxicity and mechanism has major implications for the practice of anesthesiology. This study was undertaken to investigate the liver function change after halothane anesthesia in 22 cases of electric burn patient. In this study, all cases had a great elevation of SGOT and SGPT levels, and previous experience of inhalation anesthesia, jaundice and who had not been transfused during this study. The following results were obtained: 1) Elevation of the SGOT and SGPT in electric burn patients may be influenced by damage of skeletal muscle and transaminase released into systemic circulation. 2) In the electric burn patients, elevation of the SGOT and SGPT does not enhance the susceptibility of the liver to injury by halothane.

A Clinical Study on Myscle Pain Following the Administration of Depolarizing Musele Relaxants ( Succinylcholine ) / 대한마취과학회지

An attempt was made to correlate the incidence of muscle pain following the administration of succinyIcholine and its prevention by prior administration of gallamine or d-tubocurarine. The overall incidence of pain after use of succinylcholine was 29 per cent. The prior injection of d-tubocurarine (0. 05 mg/kg) or gallamine (0. 3 mg/kg) completely pervented the muscle pain. It is presumed that d-tubocurarine or gallamine protects the patients from muscle pain by preventing a portion of the injected succinylcholine from depolarizing the muscle fibers.

Clinical Evaluation of 781 Cases of Cesarean Section / 대한마취과학회지

Maternal and fetal effects of anesthesis for 781 cases ceasarean sections, performed during the past 10 years (1965~1974) in Hanil Hospital have been evaluated clinically. It is emphasized that the selection of anesthetic agents and methods, should depend upon the physical status of the patients and the ability of both obstetricians and anesthesiologists. Optimal results require effective teamwork amongst obstetricians, anesthesiologists and nursing personnel. The anesthesiologist should be fully infermed of obstetric aspects. A variety of anesthetic techniques can be used for elective and emergency Caesarean sections. Each technique has its own advantages, disadvantages and limitations which must be thoroughly understood for proper application. The choice of anesthesia should be determined primarily by the experience of the operator, the degree of ugency, condition of the monther and the fetus, the physiopathology, the skill of the obstetrician and the desires and the emotional state of the monther.