Epidural Hypertonie Saline for Intractable Pain Associated with Malignancies / 대한마취과학회지

To two patients suffering from intractable upper abdominal pain associated with recurrent carcinomatosis following previous gastrectcmy, 10 per cent saline solution was administered through an indwelling epidural (T 7-8) catheter. The results are as follows: 1) The method effectively relieved the pain in both patients. 2) The durations of pain relief were variable. It is noteworthy, however, that the method is. remarkably effective in relieving intractable pain associated with incurable malignancies. 3) The pain accompanying saline injection could be modified by prior administration of xylocaine through the same catheter. 4) The method was simple without complications, hence ambulatory application was possible.

Anesthetic Evaluation of 100 Cases of Casarean Section / 대한마취과학회지

Maternal and feta! effects of anesthesia for 100 Cesarean sections, performed during the past two-and-half year period in this hospital, have been evaluated. It is emphasized that the selection of anesthetic agent and method should depend upon the physical status of the patients and the ability of both obstetrician and anesthesiologists.

Clinical Use of CI-581, A New Intravenous or Intramuscular Anesthetic Agent / 대한마취과학회지

CI-581(a phencyclidine derivative), a new potent, short-acting nonbarbiturate was administered to 101 patients, ranging in age from 2 months to 68 years, either intravenously, intramuscularly, or by a combination of the two routes. An intravenous dose of 1 to 2 mg per kg of body weight produced surgical anesthesia within 30 seconds, and adequate operating condition lasted for 5 to 20 minutes. With the onset of anesthesia, eyes usually opened and extremities became relaxed. However, pharyngeal and laryngeal reflexes remained active, and airway remained patent without benefit of manual support or the insertion of a mechanical airway. The pulse rate usually increased and the blood pressure rose sometimes to undesirable levels following intravenous administration, To achieve surgical anesthesia by intramuscular route a dose of 5 to 10 mg per kg was required. Surgical anesthesia developed in 3 to 5 minutes and lasted for 20 to 30 minutes. Some of the patients remembered the experience of dream which was of colorful and cheerful nature. There was no serious postoperative complications. CI-581 seemed useful to produce anesthesia for short procedures particularly in infants and children with intramuscular administration.