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Biomedical subjects

A A Thomas

Publications and source records attributed to A A Thomas.

70 records · Page 4Linked to original sources

Anaesthetic experiences in orthodontic surgery.

The anaesthetic experiences and problems have been analysed, based on 100 orthognathic operations. The material includes all kinds of operations; operating time was about 4 hours, except for 8 very extensive procedures, lasting 6--7 hours. The importance of adequate premedication is emphasized. The use of nasal drops for decongestion is especially highly recommended for the prevention of bleeding during nasal intubation. An armoured nasal tube is always used; however, special care must be taken to detect leaks on the cuff. On four occasions the tubes had to be changed because of leaks in the cuff. The most annoying complication was tachycardia, due to: insufficient premedication, insufficient analgesics during operation, or the use of hypotensive drugs. Blood loss was clearly diminished by controlled hypotension. Postoperative vomiting was prevented by the use of a nasogastric tube for the first 6--8 hours. Major complications were not encountered.

Adult↗

Occupational hazards of missile operations with special regard to the hydrazine propellants.

The second generation of ballistic missiles and boosters, characterized by increased range and quick reaction capability, required the development of new high-energy storage propellants. This exploration led to the introduction of hydrazine (Hz), monomethylhydrazine (MMH), and 1,1-dimethylhydrazine (UDMH) into the USAF inventory. These compounds are all storable, noncryogenic, high-energy fuels which may be used alone or in combination as mixed amine fuels. Early toxicology experiments were to produce data on acute and subacute effects of the propellants in order to set standards for test and operational procedures to protect propellant handlers. The early work indicated that, despite similar chemical characteristics, there were marked differences between the compounds in terms of toxicological mechanisms. Since the propellant systems have been used for some 15 years, recent emphasis on toxicology has been centered on the more chronic effects and on an increasing body of evidence from animal experiments that the compounds may possess oncogenic potential as well as chronic systemic effects. This paper addresses itself to data leading up to current occupational standards.

Alopecia↗

Traumatic pseudoaneurysm of the internal carotid artery presenting with oculosympathetic palsy.

BACKGROUND: Blunt internal carotid artery (ICA) injury is rare but undiagnosed can have disastrous clinical consequences. AIM: To report a late presentation of blunt ICA injury in a young male following a road traffic accident. RESULT: A 16-year-old male presented 11 days following a head injury with a unilateral Horner's syndrome. Imaging confirmed a pseudoaneurysm of the ICA. The patient was treated with anticoagulant therapy. CONCLUSION: Diagnosis of ICA injury requires a high index of suspicion and presentation with unusual neurological signs following blunt trauma to the head and neck requires prompt investigation.

Accidents, Traffic↗