A response to 'Syringe labelling in critical care areas', Souter A, Anaesthesia 2003; 58: 713.
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Biomedical subjects
Publications and source records attributed to N Puttick.
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Intravenous induction of anaesthesia with propofol (3.5 mg/kg) and maintenance boluses (1 mg/kg), with 30% oxygen and 70% nitrous oxide, were compared with intravenous thiopentone induction (5 mg/kg) followed by 30% oxygen and 70% nitrous oxide, supplemented with 2 to 3% halothane in children aged 2-11 years who underwent dental extractions. Both techniques were found to be acceptable in clinical practice. Recovery from anaesthesia was assessed by the time taken to reach clinically-defined milestones. Times to open eyes, give name, stand unaided, and time to discharge were all 3 to 7 minutes shorter in those who had the propofol technique compared with those who had thiopentone-halothane (p less than 0.05). These indices of recovery were more sensitive than the Steward score.
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The influence of premedication and intraoperative narcotic administration on the incidence of vomiting after E.N.T. surgery was studied over a six-month period in 596 children. A high incidence of vomiting was found after intramuscular papaveretum and hyoscine and after oral diazepam. Oral trimeprazine tartrate was associated with a low incidence of vomiting and was found to have an anti-emetic effect when an opiate analgesic was administered after induction of anaesthesia.
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