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Canadian Journal of Anesthesia, Vol 17, 172-180, Copyright © 1970 by Canadian Anesthesiologists' Society

CI-581 in Anaesthesia for Tonsillectomies in Children

W. E. SPOEREL M.D., F.R.C.P.(C)1 and PATRICIA F. KANDEL M.D., C.R.C.P. (C)1

1 Department of Anaesthesia, University of Western Ontario, and Victoria Hospital, London, Ontario

CI-581 can be used as the main agent for tonsillectomies in children. However, the technique described was not entirely satisfactory; the occasional swallowing disturbed some surgeons and the blood loss was greater, due to elevated blood pressure.

Induction of anaesthesia with CI-581 offered advantages and, when combined with halothane for maintenance, provided good anaesthetic conditions.

Laryngeal reflexes were active under CI-581 but no tendency toward laryngo-spasm was observed. Intubation was easily accomplished with succinylcholine or under topical anaesthesia, and the endotracheal tube was well tolerated.

The pattern of recovery from CI-581 differed from that seen with conventional anaesthesia, and there was a longer stay in the recovery room. There was a higher incidence of post anaesthetic vomiting with CI-581, and this was possibly related to the frequent swallowing during early recovery.

Note:

Presented at the Annual Meeting of the Canadian Anaesthetists' Society, Toronto, June 16 to 19, 1969.






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Copyright © 1970 by the Canadian Anesthesiologists' Society.