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Primary ocular blast injury is an uncommon and disputed phenomenon. As personal ballistic protection of the head and torso improves for soldiers, increasing numbers of injuries to the unprotected areas such as the face and eyes may be expected; similarly the increase in the use of improvised explosive devices by insurgent terrorists in Iraq is increasing the number of primary blast injuries being seen by the Defence Medical Services. We report a rare case of primary blast injury to the eye and briefly discuss the literature on the subject.
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A retrospective study was undertaken of all epidurals inserted on the labour ward in BMH Rinteln from 1980 to 1985 inclusive, during which time both obstetricians and anaesthetists participated in providing an epidural service. It was impossible to show any difference between the expertise of anaesthetists and obstetricians in siting epidurals, when the incidence of complications or failed analgesia was compared. However, epidurals inserted by obstetricians were more likely to be converted to general anaesthetics for operative procedures than those inserted by anaesthetists, although no adequate explanation for this could be found. Given increasing patient demand for a 24-hour epidural service, and the logistic difficulties in Service hospitals of providing sufficient anaesthetic staff for this, obstetricians can be trained to help provide such a service.
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Following in the footsteps of Victor Horsley, the 'father of British neurosurgery', Hugh Cairns continued the tradition ofgreat neurosurgeons associated with the Royal Army Medical Corps. He was a central figure in the acceptance of neurosurgery as a specialty in its own right in Britain, was instrumental in the foundation of Oxford University Medical School, and can legitimately claim to have significantly improved mortality figures in neurosurgical casualties in the Second World War. He was also the driving force in the acceptance of crash helmets for motorcyclists, which have substantially reduced the mortality rates of motorcyclists in those countries in which they have been introduced.
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J Neurosurg Anesthesiol · Jan 2022
Awake Craniotomy Under 3-Tesla Intraoperative Magnetic Resonance Imaging: A Retrospective Descriptive Report and Canadian Institutional Experience.
The role of high-field 3-Tesla intraoperative magnetic resonance imaging (I-MRI) during awake craniotomy (AC) has not been extensively studied. We report the feasibility and safety of AC during 3-Tesla I-MRI. ⋯ Our institutional experience suggests that AC under 3-Tesla I-MRI could be an option for glioma resection, although firm conclusions cannot be drawn given the limited and heterogenous nature of our data. Future multicenter trials comparing anesthetic and imaging modalities for glioma resection are recommended.