Evaluation of a new epidural fixation device.
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Biomedical subjects
Publications and source records attributed to B al-Shaikh.
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We have measured pressure changes in a newly designed tracheal tube cuff, the Portex Soft Seal, during nitrous oxide anaesthesia compared with a Mallinckrodt Lo-Contour tube and a Portex Profile tube. The pressure increases in both control groups were significantly greater than those with the new design (P < 0.0001 in each case). The mean increase in pressure in the Mallinckrodt Lo-Contour tube cuff was 9.9 (SD 3.4) mm Hg compared with 10.3 (1.8) mm Hg in the Portex Profile tube cuff and 2.1 (1.5) mm Hg in the Portex Soft Seal tube cuff. We conclude that the Portex Soft Seal cuff prevented a significant increase in intracuff pressure during nitrous oxide anaesthesia.
The effect of inspired oxygen concentration on the incidence of desaturation was studied in two groups of patients (n = 32 and 31) during total hip replacement. During insertion of acrylic bone cement, those patients receiving an inspired fractional oxygen concentration (FIO2) of 0.5 had less desaturation (3%) than those receiving an FIO2 of 0.33 (34%).
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The anaesthetic management of a patient with upper airway obstruction secondary to relapsing polychondritis is described. The relevance of this condition to the anaesthetist is discussed.