Child Guidance

TL;DR: If d-tubocurarine is used in combination with keithal-gas-and-oxygen, it can be an advantage in caesarean sections, but its potential dangers may become real in the hands of the occasional anaesthetist.

Abstract: If d-tubocurarine is to be used as an aid to anaesthesia for caesarean section, its powers would perhaps be even more fully appreciated if combined with kemithal-gas-and-oxygen provided suboxygenation did not occur, for here the unpremedicated patient strains and resists anaesthesia, is more liable to vomit during induction, and usually requires the addition of trilene or ether. In the future, as reports come in, perhaps all parties will be satisfied and the advantages of Dr. Gray's method obtained with " myanesin " in combination with general anaesthesia, but with a wider margin of safety and no respiratory depression. There seems a tendency at present for anaesthetists to use d-tubocurarine indiscriminately as the solution to all their problems ; in the hands of one is experienced as Dr. Gray it can only be-an advantage, but no-one will deny ithat in the hands of the occasional anaesthetist its potential dangers may become real.-I am, etc.,