Effortil is commonly used in this country as a vasopressor, replacing ephedrine. Various sbustances(i. e. ephedrine, neosynephrine, methedrin and epinephrine) have been added to spinal anesthetic agents in an attempt to prolong their action. We have used premixed 5% lidocaine with 5% dextrose solution as a main agent for spinal anesthesia for the past 6 years, and epinephrine has been used to prolong the spinal anesthesia. In this study, we have attempted to assess the possibility of the clinical use of Effortil in comparison with epinephrine for prologing the anesthetic effect of a spinal anesthetic agent. As a control group, 404 patients received premixed 5% lidocaine solution. In the 2nd group, 398 patients received 0. 2 mg of epinephrine added to the lidocaine solution. In the 3rd group, 337 patients received 3.0mg of Effortil added to the lidoeaine solution. The average duration of anesthetic effect was 97 minutes in the control group with lidocaine, 151 minutes in the 2nd group with epinephrine added to the lidocaine solution, and 113 minutes in the last group with Effortil added to the lidocaine solution. As a result of this study, we came to the conclusion that the Effortil may have a slight prolonging effect. However its effect is questionable as to its reliability for clinical use. Epinephrine is far better than Effortil and is more reliable and predictable for clinical use, as previously reported by other workers.
Anesthesia, Spinal* ; Anesthetics ; Ephedrine ; Epinephrine ; Etilefrine* ; Glucose ; Humans ; Lidocaine ; Phenylephrine

To 100 patients who underwent various operations under general anesthesia, Effortil and methoxamine were given in order to assess and to compare their effects on blood pressure and pulse rate. The drugs were administered intravenously in 6 to 10 mg doses when the systolic pressure fell to 80 mmHg. or lower during the operation. The results obtained are as follows: 1. Excellent pressor effect was obtained with Effortil in 84% of 50 patients while in 72% with methoxamine. 2. Both drugs were equally effectve in elevating both systolic and diastolic pressures. 3. The effect of Effortil on pulse rate was much less than that of methoxamine which moderately reduced the pulse rate, especially in the early phase. 4. No untoward effects of either Effortil or methoxamine were observed in this study.
Anesthesia, General ; Blood Pressure ; Etilefrine* ; Heart Rate ; Humans ; Methoxamine

It has been generally known that hypotension may occur during total hip prosthesis with general anesthesia. However, The cause of hypotension is not well known. In these cases, of total hip prosthesis during general anesthesia, the following results were obstained. 1) during total hip prosthesis, blood pressure fell. 2) intravenous injection of effortil and dexamethasone improved the hypotension.
Anesthesia* ; Anesthesia, General ; Blood Pressure ; Dexamethasone ; Etilefrine ; Hip Prosthesis* ; Hip* ; Hypotension ; Injections, Intravenous

The mongrel dogs, anesthetized with pentobarbital sodium, were used as experimental animals. The effects of a single intravenous injection of ethyl adrianol. 0.5 mg per kg of body weight, on cardiovascular response and urinary flow were compared with those of epinephrine, 0.05 mg per kg of body weight and norepinephrine, 0.05 mg per kg of body weight. 1) The pressor effect induced with 0.5 mg of ethyl adrianol per kg of body weight was similar to that with equipressor doses, 0.05 mg, kg of epinephrine or norepinephrine. 2) The duration of the pressor action of ethyladrianol lasted at least one hour but only about 15minutes with equipressor dose of epinephrine or norepinephrine. 3) Ethyladrienol was responsible for the increase of the urinary volume, which phenomenon is assumed to be related of the renal-function and the durability of the reaction. 4) Ethyladrianol is considered to be one of the ideal drugs for the treatment of hypotensive shock.
Animals ; Body Weight ; Dogs* ; Epinephrine ; Etilefrine* ; Injections, Intravenous ; Norepinephrine ; Pentobarbital ; Shock

From September 1972 to August 1973, Ewha Womans University Hospital has performed 220 cases of Cesarean section under spinal anesthesia. Statistical analysis was done and the results can be summarized as follows. 1.Of the indications for primary Cesarean section, C.P.D., malpresentation and fetal distress comprised 89.4%. 2.The average values in distribution of hemoglobin and hematocrit were almost within normal limits. 3. The ages of pregnant women ranged from 20 to 44 years. The 21~30 age group of pregnant women who had Cesarean section was nearly double the 31~40 group. 4. 91.4% of all cases received scopolamine 0.3 mg by I.M. injection as premedication for anesthesia. In some cases, atropine sulfate 0.4 mg and pethidine hydrochloride 50mg were given. 5. Spinal puncture levels were from L2-L5 and 95.9% were conducted at L3-4 or L4-5. 6.The average number of punctures was 1.6. 7. The sensory levels of spinal anesthesia extended to from T1 to T8 and 95.5% were from T4 to T7. 8.The average time to initial drop of blood pressure was two and half minutes and its degree was 25 mm Hg on the average. 9.The average time to maximal drop of blood pressure was,16 minutes and it averaged 40 mm Hg of fall. 10. 40~80 mg of ephedrine was the most used vasopressor but in some cases, combined ephedrine hydrochloride 40mg and effortil 10mg were injected I.V. 11. Fluid amount given in the first five minutes was 180 ml on the average.12. In Cesarean section increase of blood pressure between before and after the delivery was 20 mmHg on the average. This may be considered due to use of uterine constrictor and vasopressor drugs. 13. The Apgar score average value was 8.5 and the percentage of scores above 8. 0 was 88.1% of the total cases. 14. The average value of induction delivery time was 20 minutes. 15. Diazepam 10 mg and pethidine hydrochloride 50 mg were given to 69.5% of total cases after the delivery. 16. A tendency towards a proportional relation between decreased blood pressure and anesthetic level was observed. However no specific relation was observed between decreased blood pressure and Apgar scores.
Anesthesia ; Anesthesia, Spinal* ; Apgar Score ; Atropine ; Blood Pressure ; Cesarean Section* ; Diazepam ; Ephedrine ; Etilefrine ; Female ; Fetal Distress ; Hematocrit ; Humans ; Meperidine ; Pregnancy ; Pregnant Women ; Premedication ; Punctures ; Scopolamine Hydrobromide ; Spinal Puncture

This study was primarily undertaken to assess the value of continuous spinal anesthesia for total hip replacements (Charnley's low friction arthroplasty), which had been done under the Filtered Air Flow System for the prevention of wound contamination due to long term exposure. The results were as follows: 1. Preoperative diagnosis was in 4 cases hip joint tuberculosis,in 2 cases avascular necreosis, in 2 cases femur fracture, and in 2 cases osteoarthritis of the hip joint. 2. Average blood loss was 2, 800 ml for a one side operation and 5, 000 ml for a bilateral one. Overall average blood loss with continuous spinal anesthesia was 2, 600 ml and with general anesthesia was 1, 725 ml, and with amount of difference being 1. 175 ml more in the spinal anesthesia group (p<0. 025). 3. In 4 eases (40%) the hypotensive range was over 30% of the preoperative level, but recovery occurred soon after administration of Effortil. 4. Practically management of a patient with continuous spinal anesthesia is easier' thai with general anesthesia for total hip replacement, with fieeing of the anesthesio1ogist'a hands for better care of the patient during anesthesia.
Anesthesia ; Anesthesia, General ; Anesthesia, Spinal* ; Arthroplasty, Replacement, Hip* ; Asian Continental Ancestry Group ; Diagnosis ; Etilefrine ; Femur ; Friction ; Hand ; Hip Joint ; Humans ; Osteoarthritis ; Wounds and Injuries

We have experienced 20 cases of anesthesia for Total Hip Replacement(Charnleys Lov Frictinn Arthroplasty), which had been done under the Filtered Air Flow System for the prevention of wound contamination due to long term exposure. Preoperative diagnosis was, 7 cases of Hip Joint Tuberculosis, 6 cases of Femur Neck Fracture, 5 cases, of Osteoarthritis of Hip Joint, and 2 cases, of Avascular Necrosis. Average blood loss has 1500 ml for one side operation, and 2400 ml for bilateral one. In 12 cases, hypotensive response was occurred during the application of Acrylic bone cement to the medullary canal of femur, however in 4 cases, hypotensive responses was more prominentafter the application of Acrylic bone cement to the Acetabulum fossa and the rest of cases were no changes in blood pressure and pulse rate whatsoever. In two cases, hypotensive range was over 30%(in compare with preoperative one), but recovery was soon after administration of Effortil corticosteroids, volume expanders etc. There was no mortality.
Acetabulum ; Adrenal Cortex Hormones ; Anesthesia* ; Blood Pressure ; Clinical Study* ; Diagnosis ; Etilefrine ; Femoral Neck Fractures ; Femur ; Heart Rate ; Hip ; Hip Joint ; Joints ; Mortality ; Necrosis ; Osteoarthritis, Hip ; Polymethyl Methacrylate ; Tuberculosis ; Wounds and Injuries

A 21 year-old female underwent resection of a pheochrocytoma under general anesthesia. The patient was treated with phenoxybenzamine for 5 days preoperatively and premedicated with triflupromazien, Librium, Seconal, pethidine, hydroxyzine and atropine in combination. Following indution of anesthesia with intravenous morphine and thiopental sodium, succinylchoine was administered intravenously and endotracheal intubation was performed. Anesthesia was maintained with nitrous oxide, oxygen and methoxyflurane, using a semiclosed carbon dioxide absorption circle system, and alcuronium was injection intermittently. Blood pressure during manipulation of tumor was increased up to 190/130 torr without arrhythmia and transiently dropped to 70/50 torr immediately after removal. Blood pressure was controlled by i.v. Hartmann's solution and whole blood with Solucortef and Effortil but not norepinephrine was needed. There was no marked tachycardis or arrhythmia during anesthesia, so a beta-adrenergic blocker(Inderal) was not used. The importance of preoperative preparation, premedication and selction of anesthetics is discussed.
Absorption ; Alcuronium* ; Anesthesia* ; Anesthesia, General ; Anesthetics ; Arrhythmias, Cardiac ; Atropine ; Blood Pressure ; Carbon Dioxide ; Chlordiazepoxide ; Etilefrine ; Female ; Humans ; Hydroxyzine ; Intubation, Intratracheal ; Meperidine ; Methoxyflurane* ; Morphine ; Nitrous Oxide ; Norepinephrine ; Oxygen ; Phenoxybenzamine ; Pheochromocytoma* ; Premedication ; Secobarbital ; Thiopental ; Triflupromazine*