Costs of day case surgery.
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Biomedical subjects
Publications and source records attributed to J M Burn.
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The contribution of papavaretum to the incidence of vomiting observed in the 24 hours after paediatric outpatient anaesthesia was assessed in 129 children undergoing circumcision. Postoperative analgesia in all patients was achieved using caudal extradural blockade. The incidence of vomiting in the 24 hours after discharge from hospital was 56 per cent in those receiving papavaretum, compared with 15 per cent in those who did not (p less than 0.0001). The significance of this finding and the use of opiates in paediatric outpatient anaesthesia are discussed.
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With a subject as vast as preoperative care its is impossible in an article of this length to do more than sketch in the broad outlines of assessment and preparation, using a few examples to illustrate certain aspects. Unfortunately the pressure of work in most hospitals is such that the standard of preoperative care is not as high as it might be. Many authors have stressed its values not only in making anaesthesia safer but especially in reducing the incidence of postoperative morbidity--a field that has received too little attention for too long.
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An inexpensive "home-made" version of the Dennison-1 "valve" is described which appears to be more satisfactory than those which are currently available.
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