Jackson Rees Technique for Pediatric Anesthesia (1235 Cases) .

Sun,  Shao Jen; Jeon,  Jae Kyu

doi:1982.15.2.168

Clinical Research Article

Korean Journal of Anesthesiology 1982;15(2):168-173.
DOI: https://doi.org/10.4097/kjae.1982.15.2.168

Jackson Rees Technique for Pediatric Anesthesia (1235 Cases) .

Shao Jen Sun, Jae Kyu Jeon

Department of Anesthesiology, keimyung University Medical College and Hospital, Taegu, Korea.

Abstract

The Jackson Rees technique has become increasingly popular in pediatric anesthesia. This article presents an original Jackson Rees technique that we have used on 1235 cases for the past 7 years, and which is known as Pentothal-Curare-Hyperventilation technique or the Liverpool technique because of its origin and agents used. Technique 1) Atropine and demerol generally are given as premedication but atropine is only given in the newborn baby. 2) Patients are given pentothal 4mg/kg to sleep. 3) A dose of curare 0.6mg/kg is administered to paralyse and the patient is intubated with an appropriate size tube. 4) The patient is hyperventilated with three times the minute volume of N2O/O2 in a 1:2 ratio using a Jackson Rees modification unit. 5) At the end of surgery N2O is discontinued and curare is reversed with prostigmine 0.1mg/kg and atropine 0.03mg/kg. As a result of our experience this technique has been considered to be a very satisfactory technique in all fields of pediatric andsthesia. The advantages and controverses are discussed.