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Biomedical subjects

C J Buckley

Publications and source records attributed to C J Buckley.

At least 37 records · Page 2Linked to original sources
PubMed1988

Pain-free injection in infants. Use of a lignocaine-prilocaine cream to prevent pain at intravenous induction of general anaesthesia in 1-5-year-old children.

A randomised, placebo-controlled, double-blind study was undertaken in 111 children between the ages of 1 and 5 years to assess the efficacy of EMLA 5% cream in the alleviation of venepuncture pain at intravenous induction of general anaesthesia using 27-gauge needles. Pain assessment was made by an operating department assistant using both verbal rating scale and visual analogue scale methods. Seventy-five children, of whom 24 were premedicated, were treated with EMLA cream and 36 with placebo, 14 of whom were premedicated. Significantly lower pain scores were recorded in the children treated with EMLA cream (verbal rating scale: premedicated p less than 0.05, unpremedicated p less than 0.001; visual analogue scale: premedicated p less than 0.0005, unpremedicated p less than 0.0002). No variation in analgesia was found for application times between 30 and 300 minutes and there were no serious side effects.

Anesthesia, General↗
PubMed1980

Spontaneous mediastinal emphysema.

Several cases of spontaneous mediastinal emphysema have been seen and treated at two Air Force Hospitals. All have responded to nonsurgical treatment, and have been returned to normal duty or school.

Adolescent↗
PubMed1980

Intussusception of the appendiceal stump.

Intussusception of the appendiceal stump is a rare complication of appendectomy. A patient is described in detail and the eighteen previously reported instances are reviewed. Symptoms associated with this entity were abdominal pain (95%), vomiting (47%), blood per rectum (26%), and a palpable abdominal mass (68%). The onset of symptoms occurred within two weeks following appendectomy in 84% of the patients. Barium enema examination was diagnostic in 87.5% of patients in whom it was performed. The diagnosis of intussusception of the appendiceal stump in the postoperative period is difficult because of the nonspecificity of symptoms, the paucity of physical findings, and the intermittent nature of the partial bowel obstruction. Early diagnosis and appropriate treatment are facilitated by a thorough knownledge of this rare complication of appendectomy.

Adolescent↗
PubMed1980

Asymptomatic atherosclerotic occlusive vascular disease--its significance in the evaluation of aircrew members.

During the past 5 years, seven active aircrew have been referred to our Vascular Surgery Unit for evaluation of previously asymptomatic lower extremity claudication or cerebrovascular symptoms identified during treadmill exercise testing for abnormal electrocardiograms noted on periodic flying physical evaluations. Noninvasive vascular evaluation included pre- and postexercise lower extremity segmental blood pressures, Doppler Ultrasonic Velocity Detector supraorbital cerebrovascular screen, carotid phonoangiography, and oculoplethysmography. Four of those evaluated showed evidence of moderately severe aorto-iliac occlusive disease. More importantly, three also showed evidence of significant extracranial occlusive cerebrovascular disease and two pilots were found to have asymptomatic total occlusions of one internal carotid artery. It is recommended that noninvasive diagnostic techniques for evaluation of the peripheral arterial system be added to complement the evaluation of those aircrew suspected of having atherosclerotic coronary arterial disease.

Aerospace Medicine↗
PubMed1977

Splenectomy: its place in operations for inflammatory disease of the pancreas.

Involvement of the spleen or its vasculature in inflammatory disease of the pancreas may result in life-threatening hemorrhage. Retrospective analysis of six patients having direct splenic involvement and/or occlusion of the splenic vein secondary to pancreatitis or pseudocyst showed that removal of the spleen as a portion of an appropriately timed operation for complications of pancreatitis uniformly resulted in an uncomplicated course and survival (3 patients). Leaving the spleen in place when it was directly involved in a pseudocyst and/or when the splenic vein was occluded resulted in postoperative bleeding, the requirement for reoperation, and death from septic sequelae (2 patients). One patient died of progressive respiratory and renal failure because initial operation was inappropriately delayed. We recommend splenectomy as a portion of an appropriately timed operation for complications of pancreatitis when the splenic vessels are involved and/or when the spleen is directly involved in a pseudocyst or lesser sac collection.

Adult↗
PubMed1977

Practical role for ultrasound in diagnosis of deep venous thrombosis of lower extremities.

The Doppler Ultrasonic Velocity Detector has been shown to be of significant value in the evaluation of patients with suspected deep venous thrombosis. Our experience in 121 patients demonstrates a false-negative rate of 10% for "minimal" thrombophlebitis and 3.2% for ileofemoral thrombosis when the Doppler was used as a diagnostic aid. Since ileofemoral thrombosis represents the greatest threat to the patient in terms of pulmonary embolism, this appears to be a sensitive and specific technic for the detection of ileofemoral thrombosis.

Acute Disease↗
PubMed1976

Gallbladder disease in children and adolescents.

Seventy-nine patients, twenty years old or younger, with cholecystitis underwent cholecystectomy during a five year period at Santa Rosa Medical Center. There was a considerable delay in diagnosis in many cases. Etiologic factors differed with race and age; however, the disease appears to be quite similar in adolescents and adults. Hemolytic disease was present in all five blacks but in none of the remaining seventy-four patients. Patients younger than ten years of age are more likely to have congenital anomalies or infectious etiologies for the gallbladder disease. Cholecystectomy was associated with minimal morbidity and no mortality in this series. Cholecystitis should be considered early in the child or adolescent with unexplained abdominal pain, and oral cholecystograms proved to be a safe and reliable method of diagnosis.

Adolescent↗
PubMed1976

Localization of peripheral catheter emboli with xeroradiography.

There is an increasing incidence of venous catheter emboli coincident with the prolonged use of both peripheral and central venous cannuli. Difficulty in localizing embolized catheter fragments frequently has been a problem, especially in the pediatric patient in whom nonradiopaque catheters are used. A case of catheter embolus in a 4-week-old infant is reported and the use of xeroradiography to localize the catheter in the soft tissue of the extremity is described. Xeroradiography offers excellent definition of soft tissue architecture and therefore may be of value in a variety of situations where localization of a foreign body proves difficult.

Embolism↗
PubMed1976

Vascular insufficiency secondary to ergotism.

A case of ergot-induced peripheral vascular insufficiency mimicking atherosclerosis is presented and the clinical symptoms with vascular laboratory evaluation and roentgenographic findings are discussed in detail. A review of the literature of the vascular complications of ergot alkaloids is presented. After considering the various therapeutic modalities employed, a conservative, but hopefully more rational, treatment for these lesions is recommended. Although uncommon, this problem always must be considered in the differential diagnosis of the young patient, especially female, who presents with visceral or peripheral arterial insufficiency.

Adult↗
PubMed1976

Pyloric stenosis: a 13-year experience in operative management.

Infantile hypertrophic pyloric stenosis is best treated surgically, after an appropriate period of rehydration and resuscitation. Our experience with this entity has resulted in the performance of fewer contrast studies to establish the diagnosis as well as the use of an operative technique which can be safely applied to the teaching environment.

Follow-Up Studies↗
PubMed1975

Pseudoaneurysm of the brachiocephalic arteries: a complication of percutaneous internal jugular vein catheterization.

Three cases of arterial pseudoaneurysm formation as a complication of percutaneous internal jugular vein catheterization are presented. Laceration of the posterior common carotid artery or thyrocervical trunk was the source for these lesions. The common antecedent event was the attempted cannulation of the internal jugular vein with the lateral approach. A transcervical rather than transthoracic approach for treatment of these lesions was selected because of its low morbidity rate. This report documents another complication of internal jugular vein cannulation and recommends methods for prevention and successful treatment should it occur.

Adult↗