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Biomedical subjects

G D Smellie

Publications and source records attributed to G D Smellie.

15 recordsLinked to original sources
PubMed1982

Drug recognition by nurses and anaesthetists.

A survey of nurses and anaesthetists in a 500-bed teaching hospital set out to discover how they located a drug container in order to read its label and verify its contents. Members of each group assessed the value of seven factors thought to help in this location and answered questions on personal errors in drug administration. The nurses found the expected position of the drug container in the trolley or cupboard to be the most important factor, followed by the size of the container. The anaesthetists placed the colour of the container as most important, followed by the manufacturer's distinctive container as their second best guide to drug location. This preference for colour and a distinctive container can be used to reduce the chance of confusing drugs locally. A scheme for colour-coding ampoules in broad groups to reduce gross mistakes in the future is presented.

Anesthesiology↗
PubMedDate not supplied

Competition between collateral vessels in femoro-popliteal by-pass grafting.

In patients with severe ischaemia and maximum collateral development there is no significant competition between the patent superficial femoral artery and common femoral to popliteal by-pass vein graft provided that there is a block in the main line arterial channel between the superficial femoral artery and the popliteal anastomosis of the vein graft.

Aged↗
PubMedDate not supplied

The phlebotome in the management of incompetent perforating veins and venous ulceration.

A shearing operation using a phlebotome has been used on 26 limbs of 24 patients with venous ulceration to deal with incompetent perforating veins. Only one ulcer has failed to heal or remain healed at mean operative follow-up of 24 months. Numbness, usually transient, and haematoma formation have been the only recorded complications. This procedure is recommended in the management of incompetent perforating veins associated with venous ulceration.

Adult↗
PubMedDate not supplied

Does porosity matter?

Patients who had survived at least four years after aortic aneurysmectomy were divided into two groups depending on the prosthesis being of woven or knitted fabric. Such prostheses do not develop an endothelial lining in man, and remain thrombogenic despite their great practical success. A comparison of the persistence versus the loss of palpable pulses distal to the prosthesis, was taken as an index of thrombogenicity and the formation of micro-emboli. There was a statistically significant difference in the persistence of distal pulses in patients with knitted grafts in the 5th, 6th and 7th years of the study, suggesting that such grafts are less prone to thromboembolic activity than the woven prostheses.

Animals↗
PubMedDate not supplied

Infrapopliteal bypass grafts for severe ischaemia of the lower limb.

A retrospective survey of 27 infrapopliteal bypass grafts performed for rest pain revealed a cumulative limb salvage rate of 65.3% with an overall operative mortality of 8%. When pre-operative angiography demonstrates a patent infrapopliteal artery, reversed saphenous vein bypass grafting offers a realistic alternative to primary amputation when femoropopliteal occlusion threatens limb viability.

Adult↗