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Biomedical subjects

William McGarvey

Publications and source records attributed to William McGarvey.

3 recordsLinked to original sources

Excess post-exercise oxygen consumption following continuous and interval cycling exercise.

The purpose of this investigation was to examine the effect of interval (INT) and continuous (CON) cycle exercise on excess post-exercise oxygen consumption (EPOC). Twelve males first completed a graded exercise test for VO2max and then the two exercise challenges in random order on separate days approximately 1 wk apart. The INT challenge consisted of seven 2 min work intervals at 90% VO2max, each followed by 3 min of relief at 30% VO2max. The CON exercise consisted of 30 to 32 min of continuous cycling at 65% VO2max. Gas exchange and heart rate (HR) were measured for 30 min before, during, and for 2 h post-exercise. Three methods were used to analyze post-exercise oxygen consumption and all produced similar results. There were no significant differences in either the magnitude or duration of EPOC between the CON and INT protocols. HR, however, was higher (P < 0.05) while respiratory exchange ratio (RER) was lower (P < 0.05) following INT. These results indicate that when total work was similar, the magnitude and duration of EPOC were similar following CON or INT exercise. The differences in HR and RER during recovery suggest differential physiological responses to the exercise challenges.

Adult↗

Joint distraction for the treatment of ankle osteoarthritis.

Joint distraction has demonstrated substantial promise in the treatment of tibiotalar arthritis. Its minimally invasive nature, combined with the fact that it does not seem to "burn any bridges," lends considerable clinical appeal. Even if joint distraction provides only temporary relief and clinical results slowly deteriorate over time, more definitive and committed procedures potentially can be forestalled for a considerable period of time. Nevertheless, the current literature and clinical experience with this technique is limited. Further research and analysis is ongoing and will be necessary to understand, validate, and refine this novel approach to ankle arthritis.

Adult↗

Continuous lateral sciatic blocks for acute postoperative pain management after major ankle and foot surgery.

UNLABELLED: We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia. METHODS: A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper positioning of the insulated needle, a 20-gauge catheter was placed in proximity to the sciatic nerve. RESULTS: Continuous lateral sciatic infusion of 0.2% ropivacaine was associated with a significant reduction of morphine consumption by 29% and 62% during postoperative days one and two, respectively, in patients who underwent open reduction and internal fixation of the ankle. CONCLUSION: Continuous lateral sciatic infusion of 0.2% ropivacaine represents an alternative for acute postoperative pain control after major ankle and foot surgery.

Adult↗