Résumé
Nous avons comparé 100 cas prémédiqués avec sécobarbital 100 mg. et atropine 0.4 mg. avec 50 cas prémédiqués avec mépéridine 30 ou 35 mg. et atropine 0.3 mg. Tous les patients pesaient entre 35 et 50 livres et subissaient une adéno-amygda-lectomie ou une correction de strabisme. Nous avons observé le comportement des enfants à leur arrivée à la salle d’opération, durant la chirurgie, à la salle de réveil et de retour à leur chambre. Nous avons noté également les manifestations vagales. Les méthodes, aussi bien que les agents anesthésiques utilisés, furent uniformes pour tous les cas. Une étude des résultats, nous a permis de conclure que la formule de prémédication sécobarbital-atropine en suppositoire a atteint le but recherché: “un enfant calme, non psychiquement traumatisé, sans inconvénients sérieux, qui pourront être corrigés par l’augmentation de la dose d’atropine”.
Summary
A comparative study of premedication has been done in children weighing between 35 and 50 lbs. who were operated on for tonsillectomy or the correction of squint. The purpose of the study was to evaluate the effects of sécobarbital and atropine in suppositories in comparison with meperidine and atropine given intramuscularly. The behaviour of the children was noted upon leaving for the operating room, during surgery, in the recovery room, and on return to their beds. Vagal responses were also noted.
Results of this study show that secobarbital and atropine was a better form of premedication for children than meperidine and atropine. The rectal absorption of atropine was good.
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Tremblay, M., Thivierge, C., Aubry, U. et al. Premedication secobarbital-atropine en suppositoire chez l’enfant. Can. Anaes. Soc. J. 15, 482–490 (1968). https://doi.org/10.1007/BF03003733
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DOI: https://doi.org/10.1007/BF03003733