Anaesthesia
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Comparative Study
Ilioinguinal nerve block in children. A comparison with caudal block for intra and postoperative analgesia.
Fifty-two boys undergoing herniotomy, orchidopexy or ligation of patent processus vaginalis under general anaesthesia had supplementary analgesia; 26 had a caudal epidural block and 26 an ilioinguinal block. Analgesia was assessed both during and after surgery. Ilioinguinal block provides a useful alternative to caudal block.
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During a period of one year, 119 patients with chronic pain received injections of opioids via a catheter inserted in the lumbar epidural space. Twenty-three patients (19%) showed evidence of tolerance and were given droperidol 1.25-5.0 mg epidurally. ⋯ One patient given an accidental overdose of droperidol developed reversible Parkinsonism. It is concluded that epidural administration of the dopamine antagonist droperidol may be beneficial as supplementary medication to epidural opioids when tolerance develops.
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Case Reports
Narcotic-induced choledochoduodenal sphincter spasm reversed by naloxone. A case report and review.
A case report of biliary colic induced by narcotic premedication and reversed by naloxone administration is described and the literature reviewed.