1960s MEDICAL INSTRUCTIONAL FILM DELIVERY OF TRIPLETS w/ LOW SPINAL ANESTHESIA 51194

Made in the 1950s (or possibly the late 1940s) by Ciba Pharmaceutical Products with the co-operation of the U.S. Air Force and the University of Chicago Medical Center, this film shows the use of Nupercaine (a form of dibucaine) spinal anesthetic in the vaginal delivery of triplets. At the time this type of spinal anesthesia (now commonplace) was fairly new. The first use of similar continuous caudal anesthesia in a laboring woman was on January 6, 1942, when the wife of a United States Coast Guard sailor was brought into the Marine Hospital for an emergency Caesarean section. Because the woman suffered from rheumatic heart disease (heart failure following an episode of rheumatic fever during childhood), her doctors believed that she would not survive the stress of labor but they also felt that she would not tolerate general anesthesia due to her heart failure. With the use of continuous caudal anesthesia, the woman and her baby survived. The first described placement of a lumbar epidural catheter was performed by Pío Manuel María Martínez Curbelo (5 June 1906–1 May 1962) on January 13, 1947. The film begins with a picture of normal childbirth. At mark 1:15, is a picture of the internal organs involved in pregnancy stage for a mother carrying triplets. The sensory nerves, the uterus are talked about at mark 1:40. At mark 2:00, is a picture of the anesthetic involvement. At mark 2:44 is the spine. Spinal needle s are seen at mark 2:58. Spinal puncture is seen at mark 3:40. The anesthetic solution is given. At mark 4:48, the solution is given to the patient slowly. Improper speed of injection results to unsatisfactory anesthesia. Clinical studies demonstrate that first blocking the somatic and autonomic component of the central nerves abolishes pain impulses from the cervix, vagina and portions of the bladder and rectum. The thoracic segment is viewed at mark 5:55. At mark 6:15 are the equipment required for the heavy nuptial saddle block anesthesia. The pill is broken open and solution drawn into the syringe. At mark 7:20, the puncture is made as the speed for injection is noted. The patient sits up for 30 seconds. At mark 8:05, the doctor takes the blood pressure. He makes a line on the umbilicus path. At mark 8:40, she moves her leg to ascertain no paralysis. At mark 9:12 is the Bolin air force hospital in Washington DC. At mark 9:28, is a report on the complicated pregnancy the patient has. It then revealed the presence of triplets after 6 weeks and it continued un-complicated. At mark 9:35 is a x-ray picture of the pregnancy showing the head of the triplet. At mark 10:13 is the report. At mark 10:30, 1cc of the heavy nuptial solution is given in the usual routine method of injection. Blood pressure is checked every 5minutes interval. At mark 10:55, the delivery starts. At mark 11:07, a blood bottle is seen at the delivery room for precautionary method. At mark 11:17, a picture of the babies’ position is seen. At mark 11:55, traction is begi