Biomedical subjects
E R Emmanuel
Publications and source records attributed to E R Emmanuel.
Neurological sequelae following a high voltage electrical burn.
Neurological complications secondary to electrical injury can manifest themselves either early or late. A small percentage of these patients develop delayed peripheral neuropathy. However, patients experiencing transient spinal cord symptoms have been described. We describe the development of a lower motor neurone syndrome affecting all the limbs in a patient following a significant electrical injury, which although expected to cause spinal cord necrosis showed no evidence of this on magnetic resonance imaging. The fact that neurophysiology was unable to localize the problem made this case all the more perplexing. Similar cases reported in the literature are discussed.
Kinking of tracheal tubes.
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Long-term tracheal intubation in burn patients.
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Post-sacral extradural catheter abscess in a child.
A 4-yr-old child with hypospadias had a 20-gauge sacral extradural catheter inserted for perioperative analgesia. The catheter was removed 29 h after operation. Ten days after operation a skin pustule was noted at the catheter site. The pustule discharged, recurred, discharged and then recurred over the next 36-48 h. The abscess and tract were then explored under general anaesthesia: curettage was performed and some fatty material sent for culture. No growth occurred from the specimen. Antibiotics were given and resolution followed without further problem.
Toddlers, teapots, and kettles: beware intraoral scalds.
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Reflex bradycardia in facial surgery.
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Multiple anaesthetics for a malignant hyperthermia susceptible patient.
A patient is described who has received nine anaesthetics, the last three since he was confirmed as susceptible to malignant hyperthermia. The ninth anaesthetic illustrates the prophylactic therapy and management in detail. Certain aspects of the problem are discussed.
Controlled ventilation in dental outpatients.
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Dental anaesthetic emergency caused by medical gas pipeline installation error.
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A family with the silent cholinesterase gene.
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Letter: The first fatal case of chloroform anaesthesia in Australia.
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