Focal seizure following enflurane.
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Biomedical subjects
Publications and source records attributed to R H Jago.
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Emery-Dreifuss syndrome is a rare form of muscular dystrophy associated with cardiac complications that lead to sudden death. The disorder and its potential anaesthetic implications in the management of a patient who presented for orthopaedic surgery is described.
The death of a 35-year-old woman in the immediate postoperative period as a result of undiagnosed acute viral myocarditis is described. The presentation, diagnosis and course of the disease is discussed. It is recommended that wider use to be made of routine electrocardiographs as a screening test.
A proforma is described which is used at 6-monthly intervals to assess the professional progress of anaesthetic senior house officers. The administration of a reporting system as part of the career counselling process is outlined, and its potential for determining the future prospects of junior staff is discussed.
Plain 0.5% bupivacaine and hyperbaric 5% lignocaine were compared for spinal analgesia in 100 patients undergoing transurethral prostatectomy (TURP). The time of onset, height of blockade, degree of hypotension, and blood loss were similar in both groups. The duration of blockade was considerably greater in the bupivacaine group, resulting in a significant reduction in the requirement for postoperative analgesia.
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Two hundred and eight patients were anaesthetised using incremental doses of intravenous alphaxalone/alphadolone (Althesin). Analgesia was provided by supplements of pentazocine, which also helped eliminate the excessive movements associated with pure Althesin anaesthesia. This is a total intravenous technique and consequently eliminates the problem of atmospheric pollution. It provides adequate anaesthesia for most minor surgical procedures.
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It has been shown in experimental animals that an ileorectal valve incorporated into the operation of uretero-ileosigmoidostomy cannot be relied upon to prevent ascending urinary tract infection. However, a colorectal valve, not previously described, has been effective in preventing the development of a metabolic acidosis in piglets in whom this method of urinary diversion has been carried out.
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