Anaesthesia
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A case of atrial fibrillation, with a fast ventricular response, which developed under enflurane anaesthesia is described in a patient previously treated with digitalis and propranolol. The intravenous administration of propranolol was ineffective whereas that of neostigmine and atropine, 2 hours later, was successful and reduced the ventricular rate to normal values.
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Randomized Controlled Trial Clinical Trial
Etomidate in a new solvent. A clinical evaluation.
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Biography Historical Article
Clover's portable regulating ether inhaler (1877). A notable one hundredth anniversary.
The 100th anniversary of the first description of the 'portable regulating ether-inhaler' by Joseph T. Clover (1825-1882) is recalled. The importance of this piece of apparatus in the development of British anaesthesia is considered and the techniques of its use are outlined. Clover's personal portable inhaler is described and illustrated.
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Biography Historical Article
Frederic Hewitt lecture 1977. Anaesthesia as a career.
The contribution of Frederic Hewitt (1855-1916) to the development of the specialty of anaesthesia is acknowledged and his reasons for becoming an anaesthetist explored. Three hundred and forty-nine replies to a questionnaire on professional philosophy, status and training sent to 676 anaesthetists who joined the Association of Anaesthetists of Great Britain and Ireland during the years 1972-1975 are assessed. The factors which influence a medical practitioner to take up anaesthesia and find satisfaction in its practice are explored in the light of these replies and suggestions are made with regard to the future of the specialty.