AN ANAESTHETIC TECHNIQUE FOR ADENOTONSILLECTOMY IN CHILDREN

An anaesthetic technique for adenotonsillectomy, successfullyused in 650 children, is described. Premedication includes morphinein addition to trimeprazine and atropine. Following thiopentoneand suxamethonium-aided intubation, anaesthesia is maintainedby controlled hyperventilation with nitrous oxide and oxygenvia a modified Rees circuit, employing a combined T-piece andmodified Worcester connection, to simplify the use of the Doughtytongue-blade, and firm thermoplastic endotracheal tubes to resistblade compression. Continuity of relaxation is provided by intermittentinjections of suxamethonium. The authors' orotracheal assemblyis unobtrusive, secure and ensures a patent airway with minimaldeadspace. Airway resistance changes are readily appreciated.The technique makes for perfect airway control, relaxation forsurgical access, and rapid recovery. ^*A Short 16-mm film of this technique is avilable.Present address: Liverpool Royal Infirmary, Liverpool, Lancashire,England.