Tongue piercing in an eclamptic patient.
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Biomedical subjects
Publications and source records attributed to P T Bull.
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Neonatal serum cortisol responses to the administration of i.v. etomidate (0.3 mg kg-1) and thiopentone (4 mg kg-1) were studied in 22 healthy patients (n = 11 in each group) undergoing elective caesarean section. No statistically significant difference was found between the groups in the serum cortisol levels in the umbilical vein blood at delivery. However, values of serum cortisol in the heel prick samples taken 1 h after delivery showed statistically significant lower levels in the etomidate group (P less than 0.001). There was no statistically significant difference in the clinical status of the two groups of babies.
The work of nine Naval anaesthetists deployed with the Task Force during the Falklands campaign is described. The anaesthetists worked in a field hospital (Ajax Bay), a hospital ship (SS Uganda), a troop ship (SS Camberra), aircraft carriers (HMS Hermes and HMS Invincible) and a Royal Fleet Auxiliary (Tidespring). The problems of staffing and providing the stores for various teams in different locations at short notice are discussed.
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A case is described in which a narrow bone nasogastric tube was passed into the bronchial tree and feeding with half-strength Clinifeed commenced before the malposition was recognised. The management of the resulting acute respiratory failure is discussed, and the successful outcome attributed to the bland nature of the Clinifeed. The need for radiological confirmation of the position of narrow bone nasogastric tubes before feeding is emphasised.