Anaesthesia
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A questionnaire was sent to 293 anaesthetists in the West of Scotland to assess their attitudes to the recommendations for standards of monitoring during anaesthesia and recovery published by the Association of Anaesthetists of Great Britain and Ireland. Such standards are considered achievable and affordable in terms of costs and allow the early detection of events occurring during anaesthesia, which might lead to injury to the patient. The survey shows that there is wide acceptance of the recommendations by anaesthetists of all grades, with resultant improvements in the quality of patients care.
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Biography Historical Article Classical Article
Balanced anaesthesia for caesarean section. A review of 614 cases (1948-1956). 1957.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of droperidol and cyclizine in the prevention of postoperative nausea and vomiting associated with patient-controlled analgesia.
Fifty ASA 1 or 2 patients scheduled to undergo major gynaecological surgery were allocated randomly to one of two groups. All patients received a standard anaesthetic regimen. Patients in group 1 received droperidol 1.25 mg given intravenously 20 min prior to the end of surgery and a patient-controlled analgesia infusion containing morphine 1 mg.ml-1 and droperidol 0.05 mg.ml-1. ⋯ Fifteen of 25 patients (60%) in group 1 and 18 (72%) of 25 in group 2 suffered no nausea or vomiting postoperatively. Two patients (8%) in group 1 and three (12%) in group 2 suffered severe postoperative nausea or vomiting. We conclude that cyclizine is as effective as droperidol in the prevention of postoperative nausea and vomiting when included in a patient-controlled analgesia infusion using morphine.
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A patient undergoing pharyngo-oesphagectomy with gastric transposition sustained a large tracheal tear during the blind oesophageal dissection. High frequency jet ventilation was successfully employed in the acute airway management and continued postoperatively.