ForumI I27 ties sometimes showed BP rises which were interpreted initially as reflecting the adequacy of resuscitation and later as indicating the requirement for further analgesia during surgery.Vomiting was not a postoperative problem with these TSA techniques. Jaundice was not detected in those patients receiving repeated halothane anaesthetics, nor in those receiving group compatible blood transfusions; no haemolytic reaction was precipitated nor was any infection transmitted by this transfusion technique.The results obtained with the TSA were considered to be satisfactory and suggest that the TSA is reliable, simple to use, versatile and safe for all age groups and all types of surgery.
AcknowledgmentsThe authors wish to thank Brigadier C.D. Sanders QHS for his help and guidance in the preparation of this report.
rare, but perphenazine does produce some adrenergic blockade. There is some potentiating effect on barbiturates and other narcotics, but this effect is much less than with chlorpromazine. With intensive dosage (un- Burtles and Peckett (1957) noted that both chlorpromazine and promethazine given with the premedication were equally effective in reducing post-operative vomiting. They stated that chlorpromazine had undesirable side-effects, including delayed recovery of consciousness, hypotension, dizziness, vasodilatation, occasional restlessness, and pain at the site of the intramuscular injection. They considered promethazine prefer ble, as these side-effects were largely avoided, but oc asional mild dizziness and a cerebral depressant acAon (additive to anaesthetic and premedicant agents) were still noted. In our experience promethazine leads to undesirable prolongation of the recovery period.
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