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Canadian Journal of Anesthesia, Vol 33, 741-744, Copyright © 1986 by Canadian Anesthesiologists' Society

Delayed Vomiting After Papavaretum in Paediatric Outpatient Surgery

NIALL C. T. WILTON MRCP FFARCS1 and JAMES M. B. BURN RD FFARCS DROG1

1 Shackleton Department of Anaesthetics, Southampton General Hospital, Shirley, Southampton, England

Address correspondence to: Dr. N.C.T. Wilton, University of Michigan Hospitals, Department of Anesthesiology, Room 1G323, Box 0048, 1500 E. Medical Center Drive, Ann Arbor, Michigan 48109.

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.

Key Words: ANALGESICS: opium • ANAESTHESIA: paediatric • SURGERY: outpatient






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Copyright © 1986 by the Canadian Anesthesiologists' Society.