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Biomedical subjects

R Morgan-Jones

Publications and source records attributed to R Morgan-Jones.

6 recordsLinked to original sources
PubMed2000

Patient satisfaction with pre-operative analgesia in acute trauma.

We performed a prospective study of 100 consecutive patients admitted to the Orthopaedic and Trauma Unit at the North Staffordshire Royal Infirmary following acute injury. We assessed the patient's level of pain and perception of pain relief in the period from their admission to hospital and surgery, or the first 24 hours as an inpatient using a questionnaire. We found that 54% of patients described their pain as 'severe' or 'the worst possible pain'. Significantly, 36% of patients would have liked more analgesia. We conclude that patients are not receiving the analgesia they require following acute injury.

Adult↗
PubMed1996

Pre-operative analgesia after injury.

Much has been written on postoperative analgesia in the surgical patient. However, no work has been published on pre-operative pain relief in acute injury. We have studied 100 consecutive admissions, reviewing the prescribing pattern and administration of analgesia following acute injury in the period prior to operation, or the first 24 h as an in-patient. We found an over-reliance on a narrow range of analgesics to the exclusion of others. The choice and variety of analgesic offered, their frequency and route of administration could all have been improved. Equally, little thought was given to adjuvant forms of analgesic therapy which are well suited to the injured patient. Analgesics were prescribed more often than they were given. No pharmacological analgesia was prescribed in 9 per cent of admissions, and a further 14 per cent were given no analgesia despite its being prescribed, i.e. 23 per cent of acutely injured patients received no analgesia during the pre-operative period, or first 24 h after admission. This audit revealed evidence of inadequate pre-operative analgesic prescribing and administration practices. We conclude that there is no place for complacency when managing the analgesic requirements of injured patients.

Acute Disease↗
PubMedDate not supplied

The meniscal "pseudocyst." A clinical sign of a torn meniscus.

We report a study of 636 patients requiring knee surgery, all of whom underwent detailed preoperative assessment. Fifty-eight patients had a clinical sign of a lump on the joint line when the knee was examined at 45 degrees of flexion, which has been thought to indicate a meniscal cyst. Of these 58 patients, however, only 30 patients had a meniscal cyst demonstrated at surgery. The remaining 28 patients had a meniscal tear without a cyst. In these 28 cases, the clinical sign of a lump protruding from the joint line was termed a "pseudocyst." This new clinical sign is important because of its frequency of occurrence and the complete correlation with meniscal tears requiring surgical intervention.

Adult↗