Refrigerated vaccines to be stored within boxes.
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Biomedical subjects
Publications and source records attributed to K D Thomson.
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An eight year old girl who probably inhaled gastric contents during surgery for cleft palate repair was ventilated for 10 days in the post-operative recovery area on board the Mercy Ship Anastasis with pulse oximetry as the only monitor of oxygenation. She walked off the ship on the seventeenth day.
Twenty-nine patients scheduled for elective eye surgery under general anesthesia were randomized into two groups, A and B. After induction of anesthesia, the airway of those in group A was maintained with a conventional tracheal tube; in group B, with a laryngeal mask airway. In the immediate postoperative period, 13 of the 14 patients in group A coughed; none of those in group B did (P < .001).
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Pulse oximetry was used to measure changes in oxygen saturation in the early post-operative phase in three groups of 50 patients in whom anaesthesia was induced with propofol. One group breathed room air during induction and anaesthesia was maintained with halothane whereas the other two groups both breathed oxygen during induction and anaesthesia was maintained with either halothane inhalation or a propofol infusion. In 59 patients distributed fairly evenly between the three groups the oxygen saturation fell below 90%; the mean minimum oxygen saturation was 91.7 +/- 0.3 and the mean time at which it occurred was 3.9 +/- 0.4 min after the anaesthetic was withdrawn. Neither the inhalation of oxygen during induction nor the anaesthetic technique affected the decrease in postoperative oxygen saturation but the infusion group took significantly longer to recover consciousness.
Use of the Brain laryngeal mask airway during anaesthesia is described. Its use is shown to have obviated the need for tracheal intubation in the case of a patient whose injuries would have made this technique difficult.
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