Anaesthesia
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A method of tracheal intubation is described which uses transillumination of the tissues to identify entry into the trachea. The method is suggested as an alternative to blind intubation in cases where difficulty occurs using conventional laryngoscopy.
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The present status of intrathecal neurolysis with phenol, alcohol, chlorocresol and saline in the management of chronic pain has been discussed and the results of treatment reviewed. The particular use of these techniques in the therapy of pain due to malignant conditions has been stressed.
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A new blood warming apparatus, the Treonic Haemoheater, is described. The blood circulates through a disposable warming bag situated between two electrically heated panels containing two types of thermostat. The apparatus appears to be electrically safe and exhibits a high capacity for the transference of heat. Haemolysis is not caused and the device is simple to use.
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Case Reports
Malignant hyperpyrexia. A case report of successful treatment and subsequent uneventful general anaesthesia.
A case of successfully treated fulminant malignant hyperpyrexia induced by halothane is reported. The patient underwent uneventful general anaesthesia with Althesin, nitrous oxide, fentanyl and pancuronium 1 week later. The treatment of the established MH-syndrome and its prevention in MH-susceptible patients are discussed.