Clinical Procedure
 
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Children often undergo daily anaesthesia for a prolonged period of time (up to 8 weeks), and daily IV access is usually undesirable. A gas induction and maintenance without IV access in patients at low risk of airway complications is often appropriate.

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Ensure you know where emergency drugs are and that they are accessible.

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Incidence of nausea and vomiting following irradiation of abdominal tumours may be higher than other areas. Consider prophylactic anti-emesis

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If emergence agitation is a problem and there is no IV access to administer propofol prior to emergence, isoflurane is an alternative to sevoflurane that may reduce the incidence of emergence agitation.

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