Abstract
A discussion has been presented of some of the problems which have confronted us in our surgical work in the tropics. The majority of these problems have been in relationship to malaria, some deficiency state, or the administration of a satisfactory anesthetic. Malaria has been a complicating factor in 70 per cent following surgical intervention. Since surgical patients have been given therapeutic doses of quinine or atabrine throughout the period of hospitalization the incidence of malaria has been negligible. Very few deficiency states have been encountered, but in most cases prophylactic supplemental therapy has seemed advisable. Because of their volatility certain of the general anesthetics are difficult to administer. There is no single ideal anesthetic for use in the tropics, but intravenously administered pentothal sodium has proved most useful.
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