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Biomedical subjects

H G Paw

Publications and source records attributed to H G Paw.

5 recordsLinked to original sources

Horner's syndrome following low-dose epidural infusion for labour: a cautionary tale.

While Horner's syndrome is a rare and occasionally reported complication of epidural 'top-ups' administered for labour and Caesarean delivery, the case reported here followed a low-dose epidural infusion of bupivacaine. Low-dose epidural infusions have generally been regarded as a safer alternative to bolus doses in labour. It is also the case that close supervision is deemed unnecessary in some centres where the mother is receiving such an epidural infusion. This case is reported in order to highlight the potential dangers of a low-dose regime which in spite of the lack of early warning signs may be associated with a high block.

Adult↗

Thiopentone and propofol: a compatible mixture?

The physical compatibility of thiopentone and propofol mixtures was investigated. The investigations used were macroscopic and microscopic observations, zeta potential and oil droplet size measurements. There was no evidence of instability in the mixtures. The thiopentone-propofol mixture has the potential advantage of reducing the pain on injection, provides synergistic interaction, does not prolong recovery when used for induction of anaesthesia, may reduce the incidence of convulsions and is cost-effective.

Anesthesia Recovery Period↗

Pneumatosis cystoides intestinalis confined to the small intestine treated with hyperbaric oxygen.

Pneumatosis cystoides intestinalis is a rare disease characterized by the presence of multiple intramural gas-filled cysts in the gastrointestinal tract. The etiology remains unknown, but the disease can present with profound disturbances of bowel function. We report the successful management of pneumatosis cystoides intestinalis of the small intestine with the use of hyperbaric oxygen.

Aged↗