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Biomedical subjects

C W Needham

Publications and source records attributed to C W Needham.

14 recordsLinked to original sources
PubMed1998

Professionalism.

Explore the source record for details and available documents.

Managed Care Programs↗
PubMed1996

Painless lumbar surgery: morphine nerve paste.

The intraoperative application of morphine as a nerve paste to the exposed dura and nerve roots in lumbar cases provides immediate, dramatic, and long-term relief in postoperative pain. Fifty-four patients with intractable sciatica due to ruptured discs or lumbar stenosis were treated. After decompression of the involved nerve root(s), a paste composed of Avitene, Depo-medrol, Amicar, and Duramorph is applied to the local epidural space. No catheter is required. The Duramorph does not need to be replenished. The use of the nerve paste reduces hospital stay to a minimum, reduces the stress of surgery, and has not produced undesirable side-effects.

Humans↗
PubMed1990

Microvascular free-flap reconstruction of a large defect of the scalp. Experience in a community hospital.

The authors present a patient who had postradiation necrosis of the skull and scalp measuring over 300 cm square which was reconstructed with a free latissimus dorsi muscle flap with overlying skin grafts. The procedure was performed in a community hospital with a team comprising two plastic surgeons and a neurosurgeon, with backup from physicians assistants and nursing staff. The successful outcome of this procedure was a direct result of the concerted effort of the surgical team. We believe that microvascular free-flap reconstruction, although a complicated procedure, can be performed at the community hospital as long as appropriate measures for the care of the patient are planned and carried out.

Female↗