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Alfentanil, compared with approximately equipotent doses of fentanyl and sufentanil, is associated with a lower incidence of postoperative nausea and vomiting in outpatients.

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Patients with recurrent herpes simplex virus-2 (HSV-2) often are delivered by Caesarean section to minimize exposure of the neonate to the virus. A significant number of anaesthetists do not use regional anaesthesia in these patients for fear of introducing virus into the central nervous system. ~ We would like to report our experience with lumbar epidural anaesthesia in patients with recurrent HSV-2 infections.

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