Anaesthesia and intensive care
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A young patient had unexpected and prolonged postoperative delirium apparently associated with morphine-induced biliary colic. Naloxone had no therapeutic effect, but a small dose of pethidine produced a dramatic return to lucidity. Unrecognized biliary spasm should be considered as a cause of agitation in the recovery room in postoperative patients who have received morphine.
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Anaesth Intensive Care · Jun 2000
Case ReportsOesophageal rupture in a patient with postoperative nausea and vomiting.
Rupture of the oesophagus (Boerhaave's syndrome) is a rare complication of forceful or suppressed vomiting. Postoperative nausea and vomiting is common but does not usually lead to life-threatening complications. ⋯ Delayed diagnosis mandated conservative treatment. The clinical presentation, diagnosis and management of oesophageal rupture is discussed.
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Anaesth Intensive Care · Jun 2000
Letter Case ReportsDiathermy burn to a visitor in the operating theatre.
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Anaesth Intensive Care · Jun 2000
Letter Case ReportsEphedrine may predispose to arrhythmias in obstetric anaesthesia.