A survey of laryngoscope contamination at a university and a community hospital.
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Anesthesiology↗
Biomedical subjects
D A Crews
Publications and source records attributed to D A Crews.
Obturator neuropathy after multiple genitourinary procedures.
Management of neuropathic complications of surgery associated with multiple genitourinary procedures can prove difficult. A case of obturator neuropathy is reported. A rational approach for diagnosis and management is presented as well as possible mechanisms for its presence.
Adult↗
Epidural steroid injection as a predictor of surgical outcome.
The value of patient response to epidural steroid injection as a predictor of surgical outcome was studied. One hundred and eighty-seven patients with clinical signs of root compression underwent lumbar epidural steroid injection. Eighty-five of these patients had been told that an operation on the lumbar spine would be necessary. Over the ensuing one to three years, only 34 of these patients eventually required an operation upon the lumbar spine or an injection of chymopapain. Fifty-four per cent of the patients who were unimproved after epidural steroid injection were also unimproved after chymopapain whereas all patients who were improved, even transiently, after epidural steroid injection were improved after chymopapain injection. A statistical comparison of these two groups revealed the probability of these occurrences of 0.088. There was no correlation between outcome of open surgical procedures and response to epidural steroids. Epidural steroid injection may be a valuable aid to predicting the outcome of chemonucleolysis.
Back Pain↗
Work status and response to epidural steroid injection.
A total of 187 patients with lumbar radiculopathy underwent epidural steroid injection. On follow-up 1 to 3 years later, patients were asked if their initial injury was work-related and if they were unemployed as a result of their injury. They also rated their response to injection. Fifty-two percent of the patients with work-related injury v 68% of the patients with non-work-related injury responded to epidural steroid injection (P = 0.46).
Adult↗