ODIUM xnethohexital ILW bem used M an S ultmshort.ncting geruml anesthetic and .as an adjunct to 0th-drugs in longer antasthccic procedures for uwr n dccnde.' " Ab-.wnm ut severe cardiovascular dkturbancea and dwrt duration of action have I d to its ust in dentistry RS 10 W e have found rni!thotu?xibl, injcxtctcd intramuscularly, cspccicllly useful in pcdiutric anesthesia, giving a smooth induction, and, limcd judicinudy, muainl: the child to full mlrwp junt :is he reaches the operatinfl theater.11-12 'l'hc uniformly successful results, mpccially in smlIer c h i l h n . h s I d us to use mcthohcxitnl intnirnuscularly as the principal hypnotic a p n t in pediatric urology, especially urelluocystugniphiea, which do not demand prolonfied or profound uwlgeesin. This procedure usually rcquirca only i l short pcriod of rclcrtivo analgesin for introduction of irwbumcnts, and R lonfier period of hypnosis during which radiologic or mnomctric s t u b CM bc rmde. C,wtoIrcoyim, however, have pmved difficvlt under methohexitrrl alonc, a 9 they involve continuous stimulation. h c ! x p a 4 4 thew him hmn a reaction, vuying in degree, to the first painful dimu h , followed by quiet sleep until the examination was completed. Similur ~qucmtxa wen? seen in a separate pediatric orthoyodic series, t h e child reacting during the moment of reposition of fracture or dislcmtion, and thm sleeping while tlie plaster c m t was applied and radiograms taken. MATERIALS AND MLTHODS Urethrwyshgraphies under m t h o h i t u l in the present scrim w c r~ pcrfcmmd on 104

A 72-year-old male being treated with chlorpropamide for diabetes mellitus had an emergency operation for a perforated gastric ulcer. Hypoglycaemic coma occurred after the operation.

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