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Biomedical subjects

T J Winning

Publications and source records attributed to T J Winning.

7 recordsLinked to original sources
PubMed1990

A comparison of postoperative pain relief techniques in orchidopexy.

Fifty consecutive patients admitted to the Western General Hospital for orchidopexy, were randomly allocated to receive either a caudal bupivacaine block or peroperative wound instillation with bupivacaine, to provide postoperative analgesia. Bupivacaine wound instillation reduced the total operating time, gave more efficient postoperative pain relief in hospital and proved both inexpensive and simple in its application.

Adolescent↗
PubMed1977

Blindness from metabolic cataract--a presenting manifestation of diabetes mellitus.

Metabolic cataracts in diabetic patients usually develop within the first 3 years of the disease and cause little or no visual disability, but may progress to blindness. We report our findings in 3 patients who previously had normal vision and who presented with virtual blindness from cataract formation at the time of detection of their diabetes.

Adolescent↗
PubMed1976

Laryngeal incompetence during neuroleptanalgesia in combination with diazepam.

In eight patients, following carotid angiography under neuroleptanalgesia, a radiopaque dye was instilled into the pharynx. The chest was x-rayed 15 min later. All eight patients were observed to have aspirated the dye. The technique of neuroleptanalgesia described should not be used without safeguarding the airway in patients liable to regurgitate and inhale gastric contents.

Adult↗
PubMed1975

Chest physiotherapy during mechanical ventilation.

The effects of three different physiotherapy techniques on arterial oxygen tensions and A-aO2 gradients were evaluated in 17 patients subjected to mechanical ventilation. No significant changes were detected and the clinical significance of these findings, which contrast with those of other investigators, is discussed.

Adult↗
PubMed1975

A simple clinical method of quantitating the effects of chest physiotherapy in mechanically ventilated patients.

A simple clinical method, allowing quantitive assessment of the effects of chest physiotherapy on patients subjected to I.P.P.V., is presented. The method involves measuring of the "alveolar" pressure using the end-expiratory retard mechanism available on the Bennet MA 1 (volume cycled) ventilator. Using this simple technique three different methods of physiotherapy were shown to significantly lower alveolar pressure, indicating an increase in pulmonary compliance. The inhalation of acetyl cysteine however, appeared to render treatment less effective in this regard.

Acetylcysteine↗
PubMedDate not supplied

Nausea and vomiting after anesthesia and minor surgery.

The antiemetic effects of droperidol, diphenidol, and placebo were compared in 210 patients subjected to minor gynecologic or urologic procedures. Atropine (0.6 mg), meperidine (1 mg/kg) body mass, and either droperidol (5 mg), diphenidol (40 mg), or 2 ml of 0.9% saline were administered IM, 1 hour before general anesthesia. Trial drugs were presented in coded ampules so that the study was conducted double-blind. Droperidol appeared superior to both diphenidol (p less than 0.01) and placebo (p less than 0.001) in the prevention of vomiting, and reduced the incidence of nausea when compared to saline (p less than 0.05). Forty-four patients experienced side effects, which occurred with similar frequency in the 3 groups studied.

Adult↗