DIPRIVAN(R) AND FULL STOMACH

On the basis of published data and our own experience, the procedure to be followed for general anaesthesia in a patient with a full stomach is that of a rapid sequence induction (induction-intubation) or ''crash-induction''. This technique which consists of the administration of atropine, a hypnotic and suxamethonium together with Sellick's manoeuvre, will provide the best conditions for intubation. In view of the characteristics of propofol (rapid effect, deep depression of pharyngo-laryngeal reflexes) it seems possible to use it as a first choice induction agent in patients who are haemodynamically stable. However, it should be noted, that there is, as yet, no evidence of the superiority of propofol over other induction agents.