Gum elastic bougie for difficult double-lumen intubation.
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Biomedical subjects
Publications and source records attributed to R M Weller.
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General anaesthesia is desirable for a wide range of oral and maxillofacial operations and nasal intubation is essential for some procedures, particularly orthognathic surgery. The patient who has undergone pharyngoplasty presents with a reduced velopharyngeal orifice which may interfere with the insertion of the nasal tube. It is suggested that nasal pharyngoscopy or a similar investigation should be included as part of the preoperative assessment for these patients if nasotracheal intubation is anticipated.
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References in Punch to ether and chloroform during the first two years after the first successful public demonstration of anaesthesia are quoted and considered.
A study was made of the intentions and interests of anaesthetic Senior Registrars in the United Kingdom between March and May 1974. It is hoped that examination of the findings will show some of the features which make a consultant post attractive. A great deal of goodwill for the United Kingdom was demonstrated but it should be pointed out again that this was before the upheaval within, and about, the National Health Service which erupted at the end of 1974 and the beginning of 1975. It would seem vital that the necessary steps are taken to keep the goodwill of this substantial number of potential consultant anaesthetists so that the many lightly veiled threats of emigration are not taken to their logical conclusion.
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An exchange of views is presented that took place in the British Medical Journal of 1858, between Augustin Prichard, a Bristol Surgeon, and John Snow, relating to an anaesthetic death that occurred in Bristol that year.