Anaesthesia and intensive care
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Anaesth Intensive Care · Aug 1991
Clinical Trial Controlled Clinical TrialDoes propofol have an anti-emetic effect? A prospective study of the anti-emetic effect of propofol following laparoscopy.
In order to investigate the putative anti-emetic effect of propofol, 53 patients undergoing gynaecological laparoscopy were given a standard anaesthetic including induction with thiopentone. At the end of surgery, the patients received either a sub-anaesthetic does of propofol or an equivalent volume of normal saline. There was no difference in the incidence of nausea and vomiting between the propofol and control group. It is concluded that low-dose propofol does not have an anti-emetic effect.
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Anaesth Intensive Care · Aug 1991
The lumbosacral epidural block: a modified Taylor approach for abdominal urologic surgery in children.
We describe the lumbosacral epidural approach in 97 children undergoing abdominal urologic surgical procedures. Due to the rudimentary spinous process of the first sacral vertebra and the less prominent sacral angle, an appropriate upward inclination of the Tuohy needle in the midline is always possible in infants and small children. A catheter was easily inserted in every case and the technique was shown to be useful and safe for providing adequate intraoperative and postoperative pain control.