African journal of medicine and medical sciences
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This paper discusses the aetiology, incidence and severity of post-operative pain including factors that influence post-operative pain. Current concepts and the need for effective control of post-operative pain are discussed. A review of the various methods available for post-operative pain management is presented with special reference to practice in a developing country.
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Etomidate is a new non-barbiturate intravenous (i.v.) anaesthetic induction agent. This paper attempts to evaluate its overall safety based on studies on its effects on the cardiovascular and respiratory systems, intraocular pressure changes, apgar scores of newborns, plasma potassium changes and times to full recovery of consciousness. During etomidate anaesthesia there was good cardiorespiratory stability, reduced intraocular pressure, high apgar scores of babies delivered by caesarian section, and rapid recovery of consciousness. ⋯ The two major disadvantages of etomidate are the pain during i.v. injection and the development of myoclonic muscle movements during induction of anaesthesia. It is concluded that etomidate is quite safe from the above-stated points of view and rates very high when compared with other i.v. anaesthetic agents. However, it rates low with regards to the smoothness and pleasantness of induction of anaesthesia.