{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:45:22Z","timestamp":1777862722883,"version":"3.51.4"},"reference-count":0,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1933,12,1]],"date-time":"1933-12-01T00:00:00Z","timestamp":-1138752000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Proceedings of the Royal Society of Medicine"],"published-print":{"date-parts":[[1933,12]]},"abstract":"<jats:p>The operations of gyn\u00e6cology are divided into two classes: (1) Minor: including perineal repairs, colporrhaphies, vaginal hysterectomies, dilatations and curettings, etc., and (2) Major: abdominal sections. For both groups routine premedication is a combination of morphia and nembutal, the former in \u2159-grain, and the latter in 3-grain doses.<\/jats:p>\n                  <jats:p>For Group 1 three methods of an\u00e6sthesia are described: ( a) Ethylene and oxygen, producing in nearly all cases an adequate depth of an\u00e6sthesia without the addition of ether. A safe type of an\u00e6sthesia and one from which recovery takes place quickly. ( b) Planocaine in 20% solution, made up with sodium bisulphate, as a spinal an\u00e6sthetic, described by Mr. Dickson Wright. The dose usually injected is 0\u00b75 c.c. ( c) Sodium evipan given intravenously, though rather uncertain in action seems to serve well for such minor operations as curettage and insertion of radium.<\/jats:p>\n                  <jats:p>In Group 2 (major operations), the author's choice is between ( a) ether administered with a little additional oxygen to counteract the asphyxial tendency which the Trendelenburg position occasions, and ( b) spinal an\u00e6sthesia with percaine. For intra-abdominal pelvic surgery the latter is a very safe method for two reasons: (1) The dose required is comparatively small, and (2) the Trendelenburg position helps materially to prevent the fall of blood-pressure which a spinal an\u00e6sthetic tends to produce.<\/jats:p>","DOI":"10.1177\/003591573302700201","type":"journal-article","created":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T03:04:35Z","timestamp":1563505475000},"page":"105-112","source":"Crossref","is-referenced-by-count":0,"title":["An\u00e6sthesia in Gyn\u00e6cology"],"prefix":"10.1177","volume":"27","author":[{"given":"H. P.","family":"Fairlie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,9]]},"container-title":["Proceedings of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003591573302700201","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003591573302700201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:15:18Z","timestamp":1777526118000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/003591573302700201"}},"subtitle":["President's Address"],"short-title":[],"issued":{"date-parts":[[1933,12]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2016,9]]},"published-print":{"date-parts":[[1933,12]]}},"alternative-id":["10.1177\/003591573302700201"],"URL":"https:\/\/doi.org\/10.1177\/003591573302700201","relation":{},"ISSN":["0035-9157"],"issn-type":[{"value":"0035-9157","type":"print"}],"subject":[],"published":{"date-parts":[[1933,12]]}}}