- Email: [email protected]
Present status of obstetric anesthesia
Ab’ortion Stefancsik,
S. : Etiology
of Abortions,
J\IowtwlIr.
P. Geburtsh.
(1. GynSk.
119:
23-33,
1945;
The author maintains t,lmt when aborlion scours in the presence of genital hypoplnsi:i. the rause is imperfect dcvelopmcnt of the rrrvis. That, the cerT-is is an important C:LW+ of abortions may be seen from thr* cnsrs of abortion which follow amputation of the cervix, injurie:: and tUIlJOl'.i of t1rc rexis, and from comparative obstetrics in animals. A4 ‘1 prophylactic measure, in crises of ~lefccti\.c c;evcJopment of the cervix, the author recon~niinrls treatment Ileforc ~jrt ‘gnancv 1,~. mci~r~s of Ilormones a- dell ns vitamins, rcgulnlio-: of tllr mode of living, etc. J. P. CiR~13N1i11.I..
Anesthesia, Analgesia Onofre de Araujo, de ginec.
19:
J., and Nobrega, 315:
M.:
Present Status of Obstetric
Anesthesia,
An. brasil.
1915.
‘I‘irc :Itlmntngei of close ~~ollnboroiion I&ween obstetricians an11 anealhetiats in lhe r>hoico of anesthetic are stressed. Obstetric ancbsthesia differs considerably from surgical anesthesia because, besides suppressing pain. the presence of the fetus in intimate connect LOU with the matcrnnl system anIl the special conditions oF the ~m~sculnr birth cann.1. which must be preserved durin g labor and after tlclivery. requires spcJeia1 consideration. After a rrview of different methods of analgesia, of their advnnt,agcs rind disadvantages, the authors recommend the use of :rntiq~asmo~lir: tlrngs during lho lirst stage followed 1~~ crclopropnne-oxygen nilministration rlliring the cspulsion period on account of its high rlercentage of oxygen. For operxtil-c deli\-clrics, the authors favor general anesthesia oulp frir operations of short duration, suc~h as \-prsion and extraction. For cesarean section sf)innl anesthesia is considrrcd 1-1~ the :luthllrF to he the method of choice n-hen used b> ~liille~l anesthetists. Pcridural anesthesia is uoi oIlI-ocateil l,!; the :~uthnrs.
Editorial-Anesthesia
for the Pain
of Uncomplicated
Childbirth,
Anesthesiology
6: 410,
The medical profession and their allies :tre *till striving for the “perfect J ’ analgesia and anesthesia for the relief of the trarnil uf childl~irth. This elrort ~3s begun some to ~onlinuc for :~notllt~r i1inet.yeight years before :A ninety-eight years ago and bid, i: fair completely satisfactory solution of the prol~lem sl~all have been accomplished. During all these years every new anesthesia or technitlue introduced into the practice of surgery or uard for the relief of pain has been tried in obstetrics, beginning with chloroform in 1847 and culminating with continuous caudal in 1945. Varying degrees of success has crowned Despite the overflowing enthusiasm of certain obstetricians and the tumultuthesn eft’orts. ous ttcclnim of the lay press, the perfect obstetric analgesi:b and anesthesia has not been ~I~c(~ovPI.PI~. In fact, such cnl hudiasm plus the ‘ . half-baked ’ ? ,iournalistic propaganda on painless childbirth has created a problem within its own sphere. In retrospect, we might divide the sum total of all efYorts into “oras” and call them the “chloroform era”; the amnesia err\.’ ‘; and finally the ‘I eaudal anesthesia ’ a twilight sleep era “; the ” barbiturate in” in practically all of these eras but, era. : ’ Spinal anesthesia has been “sandwiched due to the hazards involved, it has nerer become a universal method. The advantages and disadvantages of continuous caudal anesthesia are still being debated by the conservative>.
S. : Etiology
of Abortions,
J\IowtwlIr.
P. Geburtsh.
(1. GynSk.
119:
23-33,
1945;
The author maintains t,lmt when aborlion scours in the presence of genital hypoplnsi:i. the rause is imperfect dcvelopmcnt of the rrrvis. That, the cerT-is is an important C:LW+ of abortions may be seen from thr* cnsrs of abortion which follow amputation of the cervix, injurie:: and tUIlJOl'.i of t1rc rexis, and from comparative obstetrics in animals. A4 ‘1 prophylactic measure, in crises of ~lefccti\.c c;evcJopment of the cervix, the author recon~niinrls treatment Ileforc ~jrt ‘gnancv 1,~. mci~r~s of Ilormones a- dell ns vitamins, rcgulnlio-: of tllr mode of living, etc. J. P. CiR~13N1i11.I..
Anesthesia, Analgesia Onofre de Araujo, de ginec.
19:
J., and Nobrega, 315:
M.:
Present Status of Obstetric
Anesthesia,
An. brasil.
1915.
‘I‘irc :Itlmntngei of close ~~ollnboroiion I&ween obstetricians an11 anealhetiats in lhe r>hoico of anesthetic are stressed. Obstetric ancbsthesia differs considerably from surgical anesthesia because, besides suppressing pain. the presence of the fetus in intimate connect LOU with the matcrnnl system anIl the special conditions oF the ~m~sculnr birth cann.1. which must be preserved durin g labor and after tlclivery. requires spcJeia1 consideration. After a rrview of different methods of analgesia, of their advnnt,agcs rind disadvantages, the authors recommend the use of :rntiq~asmo~lir: tlrngs during lho lirst stage followed 1~~ crclopropnne-oxygen nilministration rlliring the cspulsion period on account of its high rlercentage of oxygen. For operxtil-c deli\-clrics, the authors favor general anesthesia oulp frir operations of short duration, suc~h as \-prsion and extraction. For cesarean section sf)innl anesthesia is considrrcd 1-1~ the :luthllrF to he the method of choice n-hen used b> ~liille~l anesthetists. Pcridural anesthesia is uoi oIlI-ocateil l,!; the :~uthnrs.
Editorial-Anesthesia
for the Pain
of Uncomplicated
Childbirth,
Anesthesiology
6: 410,
The medical profession and their allies :tre *till striving for the “perfect J ’ analgesia and anesthesia for the relief of the trarnil uf childl~irth. This elrort ~3s begun some to ~onlinuc for :~notllt~r i1inet.yeight years before :A ninety-eight years ago and bid, i: fair completely satisfactory solution of the prol~lem sl~all have been accomplished. During all these years every new anesthesia or technitlue introduced into the practice of surgery or uard for the relief of pain has been tried in obstetrics, beginning with chloroform in 1847 and culminating with continuous caudal in 1945. Varying degrees of success has crowned Despite the overflowing enthusiasm of certain obstetricians and the tumultuthesn eft’orts. ous ttcclnim of the lay press, the perfect obstetric analgesi:b and anesthesia has not been ~I~c(~ovPI.PI~. In fact, such cnl hudiasm plus the ‘ . half-baked ’ ? ,iournalistic propaganda on painless childbirth has created a problem within its own sphere. In retrospect, we might divide the sum total of all efYorts into “oras” and call them the “chloroform era”; the amnesia err\.’ ‘; and finally the ‘I eaudal anesthesia ’ a twilight sleep era “; the ” barbiturate in” in practically all of these eras but, era. : ’ Spinal anesthesia has been “sandwiched due to the hazards involved, it has nerer become a universal method. The advantages and disadvantages of continuous caudal anesthesia are still being debated by the conservative>.