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Pethilorphan‐Promethazine, Diazepam Intravenous Analgesia for Minor Gynaecological and Obstetrical Operations
Author(s) -
Fahmy Kamal,
Elbanna Maeel
Publication year - 1974
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1974.tb00837.x
Subject(s) - medicine , anesthesia , diazepam , promethazine , blood pressure , pregnancy , genetics , biology
Summary: A study of 380 minor gynaecological and obstetrical operations (342 were terminations of pregnancy), in which pethilorphan‐promethazine, diazepam intravenous analgesia was used is presented. Only two patients recalled slight pain and showed appreciable movement during the operation. There was no airway trouble or significant changes in the pulse, blood pressure or respiration. The fasting state was unnecessary in urgent cases, and no special nursing was needed. The mean time until the patients became aware of their surrounding was 2.5 hours, and until out of the bed 7.5 hours. There was no mortality. The significant side effect was a high incidence of postanalgesic postural giddiness and/or headache which appeared to be due to diazepam, and increased with the dosage. Intravenous analgesia is safe, effective, lessens the work load of trained anaesthetists and reduces the admission‐operation interval.