Journal of the Royal Army Medical Corps
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A case of opisthotonus following the use of the anaesthetic induction agent propofol is described. The patient was a woman with a known history of epilepsy. It is recommended that propofol should not be used in such patients.
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Historical Article
The role of isotonic and hypertonic solutions in the resuscitation of shocked patients.
The role of intravenous salt solutions in resuscitation is reviewed historically. A brief account of the pathophysiology of shock is given. ⋯ It is considered that hypertonic solutions may find a role in any future major military conflict. Two hypertonic solutions that are suggested for consideration in this context are 12% sodium chloride (2 mmol/ml) and 8.4% sodium bicarbonate (1 mmol/ml).
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Historical Article
'The smart of the knife'--early anaesthesia in the services.
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Neonatal intensive care requires continuous close monitoring of several physiological parameters. The machinery involved is complex but has to be understood by medical staff with the minimum of training in its use. Failure of correct application and interpretation of results can be dangerous for the sick or preterm infant.