Ugeskrift for laeger
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We studied 75 patients aged 15-40 years who received spinal anaesthesia with the Sprotte 24-gauge spinal needle. The incidence of post dural puncture headache was 4%. ⋯ The patient acceptance was high. We conclude that spinal anaesthesia is easy to perform with a 24-gauge Sprotte needle and is associated with a low incidence of post dural puncture headache.
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In order to introduce intravenous patient-controlled analgesia (PCA) in children in the Department of Anaesthesiology and Intensive Care, Odense University Hospital, we evaluated the technique in 13 children following major orthopaedic or abdominal surgery. The pump (Pharmacia-Deltec, CADD-PCA) was loaded with 1 mg/ml morphine in a 50 milliliters cassette. A bolus dose of 25 micrograms/kg and a lock-out interval of eight minutes were the initial settings. ⋯ Morphine requirements averaged 9.5 microgram/kg/hour (range 5.4-15.6 microgram/kg/hour). Pain control was good and side effects were few and of minor nature. PCA is an effective and safe means of providing good quality analgesia in children.