Penlon rotameter block failure.
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Anesthesiology↗
Biomedical subjects
R E Comber
Publications and source records attributed to R E Comber.
The assessment of operating theatre requirements for emergency surgery.
Acute surgical operations were analysed over a period of two months. Recordings were made of the times of admission, the start and finish of surgery, and the surgical specialty. Fifteen emergency operations per day used 23.5 hours operating theatre time. The delay from admission to surgery averaged eight hours but varied from a few minutes to over 24 hours. The acute work is increasing by 5% per annum and now comprises over 50% of the 10,500 operations done each year at Middlemore. Two thousand of the remaining operations form a separate group consisting of repeat operations, operations for complications, and transfers from other disciplines and hospitals. Waiting list operations have fallen from nearly 5000 in 1981 to 3000 in 1988 as more theatre time and hospital beds are used for emergency cases. The trends justify the building of three extra theatres to meet the community needs of the next decade.
Emergency Service, Hospital↗
Management of fifty cases of chest injury with a regimen of epidural bupivacaine and morphine.
Epidural bupivacaine and morphine were administered to fifty patients who had suffered traumatic injuries to the chest. Forty-three of these patients made satisfactory recoveries without requiring any ventilatory support. Six patients were ventilated, one because of cardiovascular complications of myocardial infarction, two because of inadequate analgesia, and three because of respiratory failure. Three patients died. Serious side-effects were not common. One patient developed respiratory depression which required withdrawal of morphine, and one patient developed an epidural space infection.
Adolescent↗