Intravenous anaesthesia (part two). No. 7.

Date:
1944
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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

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Credit

Intravenous anaesthesia (part two). No. 7. Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Source: Wellcome Collection.

About this work

Description

A technical film (part of a series) apparently aimed at the inexperienced anaesthetist. This film, in two parts, illustrates the scope of use for intravenous anaesthesia. Pentathol is used and promoted throughout. At the end there is a section which summarises the methodology for intravenous anaesthesia. 5 segments

Publication/Creation

UK, 1944.

Physical description

1 encoded moving image (23:30 mins) : sound, black and white.

Duration

00:23:30

Copyright note

ICI

Terms of use

Open with advisory
CC-BY-NC
Creative Commons Attribution-Non-Commercial 2.0 UK: England & Wales

Language note

In English.

Creator/production credits

Directed by Yvonne Fletcher, Photography by A. E. Jeakins. Produced by Realist Film Unit. Made with the co-operation of the Department of Anaesthetics, Westminister Hospital, London.

Contents

Segment 1 Opening credits. Intertitle extolling the benefits of induction and recovery for the patient in the use of intravenous anaesthesia. Intertitle: Continuous drip infusion. Standard transfusion equipment is customised for this purpose. A patient is readied for anaesthesia. The rubber tubing is punctured near the vein and a standard dose of 3 cubic cms is given. The syringe is strapped to the arm. The drip is set to 60 drops a minute. The operation commences on the perineum. The depth of anaesthesia is then varied and the syringe is used to top the patient up as necessary. Intertitle: Pentothal for opthalmic operations. A female patient is seen and she is described as too nervous for endotrachael intubation. The anaesthetist sits close to the patient with his hand on the syringe. The patient has her eye lids retracted. This method is only recommended for the experienced anaesthetist. Time start: 00:00:00:00 Time end: 00:05:23:03 Length: 00:05:23:03
Segment 2 Intertitle: Pentothal for general manipulations. A female patient is given 15 cubic cms of anaethesia. She is apparently handled roughly; she is turned, her legs seized, lifted and then her upper torso is pushed onto the table. She is naked from the waist upwards. The effect of the large dose of Pentothal is that it is a muscle relaxant and she is floppy like a rag doll, although the manipulation has the effect of artificial respiration. Intertitle: Pentothal as a Basal Anaesthetic (i) Before nitrous oxide. A female patient is prepared for a masectomy where the main anaesthetic agent will be nitrous oxide. The Pentothal starts to wear off and so the anaesthetist administers nitrous oxide. Intertitle: Pentothal as a basal anaesthetic (ii) Before regional anaesthesia. A female patient is given Pentothal before a local anaesthetic is given. The patient is turned over. The patient is anaesthetised in order to receive a number of injections but as she needs to remain quietly asleep - it is recommended that a series of Pentothal injections are given as a needle in a single vein may clot. [The media has been removed from this segment due to patient sensitivity]. Time start: 00:05:23:03 Time end: 00:10:18:07 Length: 00:04:55:04
Segment 3 Intertitle: Pentothal for induction of anaesthesia. (i) Before open ether. A female patient is given 5 cubic cms before ether; this ensures that she does not object to the mask, gamgee and ether. The ether is dropped on cautiously at first, then more rapidly. Her eyes are checked; she is ready for surgery and is wheeled away. Intertitle: Pentothal for Induction of Anaesthesia (ii) Before nitrous oxide-oxygen-ether. A female patient is given Pentothal. Care must be taken that there is no cyanoses. Induction has been slow and the patient rouses slightly so more nitrous-oxide is administered. Time start: 00:10:18:07 Time end: 00:14:06:09 Length: 00:03:48:02
Segment 4 Intertitle: Nitrous oxide-oxygen-Pentothal. An alternative method, and apparatus with accurate flow meters is required. A patient has an injection and her arm is secured to the arm rest. A mask is secured firmly but lightly. Nitrous oxide and oxygen is administered. The anaesthetist is tasked with making sure the patient's airways are clear. An appendicectomy (appendectomy) commences. Highlights from this routine operation which usually lasts 33 minutes are shown, including stitching the patient. Key moments are identified when the anaesthetist should be aware of the surgical stimuli and administer more Pentothal. The mask is removed. Time start: 00:14:06:09 Time end: 00:20:45:00 Length: 00:06:43:00
Segment 5 Intertitle: Recapitulation. A sequence of shots with narration reminding the anaesthetist of what has been discussed in parts one and two of this title. Firstly, the anaesthetist should make venepunture easy by choosing the right kind of needle with an eccentric nosal. The arm is secured to an arm rest. Dosage will be different from one patient to another. Change to inhalation anaesthesia depending on procedure. Check the airway. Cyanosis can be fatal; it must be treated with oxygen. Some of the cases where intravenous anaesthesia is unsuitable are summarised. Intravenous anaesthesia is popular with patients and a male patient is seen peacefully going under. ICI. The End. Time start: 00:20:45:00 Time end: 00:23:30:00 Length: 00:02:45:00

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