Anaesthesia
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Viral gastroenteritis is usually a mild, self-limiting illness. We report a case of a previously well 74-year-old woman who suffered a grave complication of this common condition, and caused a significant outbreak of illness amongst staff involved in her care. This case highlights the risks of Hospital Acquired Infection and raises important infection control issues. It illustrates the hazards associated with exposure to potentially infectious secretions and presents a clear message to medical and nursing staff involved in the care of the acute surgical emergency.
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Breathing system filters can be used to humidify gases delivered to patients. Performance can be determined by measuring the net moisture loss (the difference between expired and inspired levels of humidity) from a patient model. ⋯ The net moisture loss decreased as the humidity in the breathing system increased and was less for the lower tidal volume. Adequate levels of humidity (>/= 20 g.m-3) will be delivered to patients by most filters provided they are used in conjunction with circle breathing systems and low fresh gas flows.
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Comment Letter Case Reports
Nasotracheal intubation in a patient with maxillo-facial and basal skull fractures.