Browsing by Author "Samuels, G."

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    Caudal block for analgesia after paediatric inguinal surgery
    (Health & Medical Publishing Group, 1987) Payne, K.; Heydenrych, J. J.; Martins, M.; Samuels, G.
    Two hundred and eleven children aged 1 - 5 years were studied after undergoing herniorrhaphy or orchiopexy. In 111 cases a caudal block was used for postoperative analgesia. This was administered immediately after induction of anaesthesia, using bupivacaine 0,25% plain (0,7 ml/kg lean body mass), and was successful in 100 patients. A mean analgesic level (± SE) of T9,9 ± 0,47 was achieved (range L2-T6). In 5 cases no block occurred and in 6 the level was below T12. The other 100 children acted as controls. Behaviour patterns were more restful in the caudal block group on awakening and less opiate was required during the first 5 postoperative hours. No complications resulted.
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    Midazolam premedication in paediatric anaesthesia
    (Health & Medical Publishing Group, 1986) Payne, K. A.; Heydenrych, J. J.; Kruger, T. C.; Samuels, G.
    To investigate the efficacy of midazolam (Dormicum; Roche) as a paediatric premedication, 150 children, aged 6 months - 5 years, were divided into three groups. All three groups spent time with the anaesthetist to allow rapport to be established. Group A received midazolam premedication, group B received oral trimeprazine, droperidol and methadone (TDM) and group C received no sedative medication. Midazolam gave the best behaviour patterns in the holding room. Behaviour at induction was the same in all three groups. The recovery times were similar in the midazolam and unsedated groups, but in the TDM group recovery was significantly delayed. Temperatures remained stable in the unsedated and midazolam groups, but decreased in the TDM group. It is concluded that midazolam is a satisfactory paediatric premedication agent.