113 This system of monitoring might be improved further if all cases in this category were investigated jointly by a forensic pathologist and an anaesthesiologist at the very outset of the investigation and during the actual autopsy. Free Papers The Influence of Pancuronium on Primary Conjugated Bile Acids A. Fassoulaki, T. Mihas, A. Mihas and P. Kaniaris Experimental studies have been reported in which a prolonged action of steroid neuro muscular blocking agents followed bile acids administration(1, 2). A prolonged neuro muscular action of pancuronium has also been detected in patients with biliary obstruc tion(3). In the present study serum bile acids and intracellular liver enzymes were estimated after anaesthesia in which pancuronium was used as a muscle relaxant (Fig. 1). An at tempt is made to investigate the effect of pancuronium on bile acid levels. Material and Methods Twelve female patients aged between 40 and 50 years were studied. All of them were visited in the ward the night before the operation by the anaesthesiologist where their clinical condition was assessed and their consent was obtained to participate in the pre sent study. None of them had a history of hepatic disease or was taking drugs. The oper ation performed in all cases was modified radical mastectomy and intracellular liver en zymes are routinely determined in these patients preoperatively. The twelve patients were reassured and stated that they did not want to have any tranquillizer for premedi cation.

Guest Lecture: On the Possible Role of the two Central Projection Areas of the Spinothalamic Inflow in the Appreciation of Pain

Debate
Symposium: Complications in Anaesthesia
Epidemiological Aspects
Mortality Associated with Anaesthesia - The Background to the British Study
Anaesthetic Mortality in Britain and France - Methods and Results of the British Study
Morbidity and Mortality Associated with Anaesthesia - French Survey: Preliminary Results
Aspects of Anaesthetic Mortality
Maternal Mortality Associated with Anaesthesia in England and Wales
Anaesthesia and Maternal Mortality in France
Cardiac Function and Anaesthetic Mortality
Anaesthetic Mortality and Pulmonary Function
An Analysis of Anaesthetic Mortality amongst Children
Morbidity and Mortality in Elective Geriatric Surgery
Complications of Anaesthesia as Subjects for Intensive Therapy
Anaesthetic Death from Equipment Failure
Medicolegal Consequences of Anaesthetic Death
Medicolegal Consequences of Anaesthetic Death (U.K.)
Medicolegal Consequences of Death under Anaesthesia in the Netherlands
Medicolegal Consequences of Death under Anaesthesia in France
Medicolegal Problems Concerning the Categorization and Tabulation of Lethal Accidents in Anesthesiology (FRG)
On the Duty to Report to the Authorities all Fatal Accidents during Anaesthesia - Experiences in Austria
Free Papers
The Influence of Pancuronium Bromide on Primary Conjugated Bile Acids
Autoregulation of Cerebral Blood Flow: Effects of Nitroprosside and Nitroglycerine
Haemodynamic Profile of Nicergoline - Induced Hypotension in Dogs
Estimation of Anaesthetic Depth by Monitoring Spontaneous Scalp EMG and Evoked Hypothenar EMG
Combined Electroencephalography (EEG) and Electromyography (EMG)for Measurement of Depth of Anaesthesia
Relationship between Maximum Inspiratory Pressure and Tidal Volume after Decurarization
Pharmacodynamics of Org NC 45 (Norcuron(TM)) in Children
Cardiovascular Effects of Subarachnoid Adrenaline
Ventilation with an Air-Oxygen Mixture During Anaesthesia
Effects of Anaesthesia on Haemodynamic Responses to Haemorrhage
Epidural Autologous Blood Patch in Intractable Headache
Reaction Time and Pattern of Memory Function after Fentanyl, Diazepam and Flunitrazepam
Zopiclone as an Oral Preanesthetic Medication
Postoperative Infusion Analgesia
Relief of Postoperative Pain with Zomepirac, Paracetamol with Codeine, or Placebo
The Influence of Epidural Analgesia on Plasma Norephinephrine, Epinephrine and Cortisol During Labour and Delivery
Radiocardiographic Evaluation of Induction to Neuroleptanaesthesia in Patients with Mitral Stenosis
Continous Estimates of Cardiac Output by Ultrasonic Oesophageal Probe
The Plasma Elimination Kinetics of Thiopentone Following Prolonged Infusion to Reduce Intracranial Pressure
Dissociation between Resting and Reflex Cardiovascular Effects of High Dose Fentanyl and Alfentanyl in the Dog
Airway Pressure and Gas Flow Measurements in the Weaning of Infants from Controlled Ventilation with the Siemens 900C System
Hemodynamics of Hemorrhagic or Endotoxic Shock in Dogs under Thiopentone Anaesthesia: Effects of Additional Thiopentone or Ketamine
Effects of Droperidol on Peripheral Vasculature During Cardiopulmonary Bypass in Man
Development of Tachyphylaxis and Phase II Block after Depolarizing Neuromuscular Blocking Drugs
Abstracts
Measurement of Plasma Fentanyl Concentration - Comparison of three Methods
Ventilatory Movement Discoordination in the Postoperative Periodand During Weaning from Mechanical Ventilation
Dosing of IV Anaesthetics: New Infusion Techniques Developed by Pharmacokinetic Methods
The Use of Antithrombin III in ICU Patients in Shock
Occupation and Health of U.K. Women Doctors and Dentists: Interim Report on the Findings in Hospital Staff
Comparison of Halothane and Isoflurane when Used to Control Intra-operative Hypertension in Patients Subjected to Coronary Artery Surgery
Ventilatory Depression During and after Infusions of Fentanyl and Alfentanyl in Man
Discussion Session: The Involvement of the Anaesthetist in the Treatment of Chronic Pain
The Involvement of Anaesthetics in the Treatment of Patients with Chronic Pain
Peripheral versus Central Approaches to Pain and its Treatment
The Role of the Anaesthetist in a Multidiciplinary Pain Clinic
The Role of the Anaesthetist in Pain Teaching and Research
Posters
Parenteral Nutrition in Multiple Trauma: Use of Branched Chain Amino-acids
Hemodynamic Effects of Ketamine Following Administration of Acebutol in the Dog under Thiopentone Anaesthesia
The Effects of Methohexitone and Alfentanil on Oxygen Consumption
A new Valveless All Purpose Ventilator
Effect of Changes in Blood Pressure on Central Respiratory Activity
Epidural Morphine Effect on the Somatosensory Evoked Potentials
Ketamine-Diazepam as an Adjunct to Regional Anaesthesia
Comparison of Levonantradol 1 or 2 mg I.M. with Pethidine and Placebo for Postoperative Analgesia
Recovery from Disoprofol Anaesthesia: A Comparison with Althesin
Legal Measures in Romania to Minimise Health Risks for Anaesthetists
The Influence of Antihypertensive Drugs on Intracranial Pressure
Abstracts
The Microcomputer in Self-assessment for Examinations in Anaesthesia
Effects of Fazadinium on Respiratory Functions and its Correlation with Neuromuscular Transmission in Children.