Abstract
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 < 0.0001). The significance of this finding and the use of opiates in paediatric outpatient anaesthesia are discussed.
Résumé
La contribution de papavaretum dans l’incidence de vomissements observés 24 heures après anesthésie chez des patients externes était évaluée chez 129 enfants subissant une circoncision. L’analgésie postopératoire chez tous les patients était faite avec un block caudal extradural. L’incidence de vomissements en dedans de 24 heurs après le congé de l’hôpital était de 56 pour cent chez les enfants ayant reçu du papavaretum comparativement à 15 pour cent chez les patients qui n’en n’ont pas reçu (p < 0.0001 ). L’importance de cette trouvaille ainsi que l’utilisation des opiacés pour l’anesthésie pédiat-rique des patients externes est discutée.
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Wilton, N.C.T., Burn, J.M.B. Delayed vomiting after papavaretum in paediatric outpatient surgery. Can Anaesth Soc J 33, 741–744 (1986). https://doi.org/10.1007/BF03027124
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DOI: https://doi.org/10.1007/BF03027124