Anaesthesia
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Historical Article
Anaesthesia in Hong Kong. Its history and present position.
The history of the development of the specialty of anaesthesia in Hong Kong, its present position and future prospects are discussed. Special reference is made to the activities of the Society of Anaesthetists in Hong Kong which has promoted the cause of anaesthesia and maintained extensive international links during the last 25 years.
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Fifty-six anaesthetists participated in a trial of the use of microcomputers for self-assessment. Ninety-three per cent of the anaesthetists found the concept of computer-assisted self-assessment acceptable. The only significant difference in the scores achieved by different groups was found with a specialised intensive care program in which senior registrars had a higher average score than older consultants.
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Randomized Controlled Trial Comparative Study Clinical Trial
Anaesthesia for transurethral prostatectomy. A comparison of spinal intradural analgesia with two methods of general anaesthesia.
One hundred and fifty patients who presented for transurethral prostatectomy were randomly allocated to one of three groups for the purpose of anaesthesia. Group A received spinal intradural analgesia, Group B general anaesthesia with spontaneous ventilation and Group C general anaesthesia with controlled ventilation. The comparability of the three groups was established. ⋯ Dysrhythmias were significantly higher in Group B. The results support the conclusion that the methods of choice for anaesthesia for transurethral prostatectomy are spinal analgesia or general anaesthesia using muscle relaxants and controlled ventilation. The final decision is a matter of personal preference.