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Biomedical subjects

G W Parry

Publications and source records attributed to G W Parry.

8 recordsLinked to original sources

Modification of minitracheostomy technique to limit bleeding complications.

Minitracheostomy is a commonly performed procedure usually carried out by junior medical staff. Though there are few problems associated with the technique of minitracheostomy, bleeding is often encountered. We now present a brief case report demonstrating the problems associated with bleeding. We also outline an alteration in insertion technique with the 'Minitrach' designed to diminish the risks of serious bleeding, and report on our results with this technical modification.

Bronchial Diseases↗

Antibiotic prophylaxis for cardiac surgery: current United Kingdom practice.

A questionnaire was sent to 120 United Kingdom cardiac surgeons to ask for information on their use of prophylactic antibiotics in adult cardiac surgical patients. Data on type and duration of antibiotic were specifically sought. The response rate was 91%. All respondents used prophylactic antibiotics: 32% used single agents (second and third generation cephalosporins were the most commonly used) and 68% used either two (89%) or three (11%) antibiotics in combination. The total duration of prophylactic antibiotic treatment was less than 48 hours for 89% of respondents. Single dose antibiotics were used by only 6%. The use of prophylactic antibiotics has changed in the past few years, with a trend away from combinations of antibiotics to single agents. The duration of use of antibiotics has shortened and the use of single dose agents has increased.

Anti-Bacterial Agents↗

Renal angiomyolipoma: diagnosis and management.

Non-traumatic retroperitoneal haemorrhage is uncommon, and the diagnosis is often difficult. However, such bleeding is frequently renal in origin, and most commonly arises from renal neoplasia, benign or malignant. We present two cases of bleeding renal angiomyolipomata, review the literature on the subject and consider options for diagnosis and treatment.

Adult↗