Anaesthesia and intensive care
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One hundred patients who received a competitive neuromuscular blocking agent during anaesthesia were randomly selected for evaluation of neuromuscular function immediately on their arrival in the recovery room. The anaesthetist was not aware that the patient would be evaluated in the recovery room. ⋯ Bedside tests of neuromuscular function did not reliably detect this defect in neuromuscular transmission. It is concluded that a relatively large number of patients have a defect in neuromuscular transmission on their arrival in the recovery room, and suggested that this reflects the inadequacy of clinical methods used for the administration and antagonism of competitive neuromuscular blocking agents at this institution.
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Since the early 1970s there has been a co-ordinated retrieval service in South Australia for adult, paediatric and neonatal patients. The paediatric service has been mounted from the Adelaide Children's Hospital and to the end of 1983 numbers 379 patients, including 90 patients in 1983. ⋯ The records have been entered into a file program in a microcomputer and analysed. The results of this analysis are presented and discussed.
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Anaesth Intensive Care · Aug 1985
Comparative StudyTemperature maintenance in infants undergoing anaesthesia and surgery.
A study has been conducted on infants under six months of age during induction and anaesthesia to compare the effect on heat loss when a warming blanket, a humidifier and an overhead heater were used. The combination of all three was associated with significantly less heat loss than when the blanket was used alone. The particular benefit of the overhead heater during prolonged preparation for neurosurgery was also demonstrated. It is recommended that overhead heaters should be used during induction of anaesthesia in infants.