Anaesthesia and intensive care
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Anaesth Intensive Care · May 1984
Randomized Controlled Trial Comparative Study Clinical TrialA controlled trial of pain on skin infiltration with local anaesthetics.
A double-blind, randomised controlled trial was performed to compare the pain experienced on intradermal and subcutaneous injection of lignocaine 1% with adrenaline 1:100,000, lignocaine 1%, procaine 1% and normal saline. A linear analogue pain scale was used to assess pain. ⋯ These differences were significant at p less than 0.05 or greater for all comparisons except procaine 1% and normal saline. In conclusion, procaine 1% appears to be the local anaesthetic of choice from among those tested for intradermal and subcutaneous injection.
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Anaesth Intensive Care · May 1984
Intradermal testing after anaphylactoid reaction to anaesthetic drugs: practical aspects of performance and interpretation.
A detailed description of an intradermal test for the diagnosis of the drug responsible for acute anaphylactoid or anaphylactic reactions to anaesthetic drugs is presented. If intradermal testing is performed according to this protocol the drug responsible for the reaction can be determined in the majority of reactions.
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The records of six hundred and fifty-five patients treated in the Dental Day-Stay Unit over a twelve-month period were reviewed. 2.1% of 95 patients assessed as suitable for day-stay surgery, and 2.2% of 542 patients not assessed prior to anaesthesia were admitted postoperatively. As an index of outcome, 2.56% of 547 day cases were admitted postoperatively, 0.73% being attributable to anaesthesia. Forty-seven day patients were treated in the dental chair, and 108 were treated as inpatients. ⋯ Guidelines for day-care selection require that the procedure be straightforward, the patient medically fit, be discharged escorted, and live within a reasonable distance of the hospital. From our study, four specific patient groups are identified. These are: the young and healthy, the mentally handicapped, the medically compromised, and those with airway problems.