The Ceylon medical journal
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Comparative Study Clinical Trial Controlled Clinical Trial
Subcutaneous morphine for postoperative analgesia.
a. To confirm the efficacy of subcutaneous morphine infusion for postoperative analgesia and compare this effect with three-hourly subcutaneous bolus injections of morphine. b. To evaluate the suitability of a simple micro-infusion set to deliver subcutaneous infusion, as conventional infusion pumps are expensive and not readily available. ⋯ Intermittent subcutaneous bolus injections of morphine given through an indwelling butterfly needle is a simple, safe, and effective method for postoperative analgesia after major abdominal surgery. Simple infusion sets are not suitable to deliver subcutaneous infusions, and the need for infusion pumps makes the infusion technique unsuitable for routine use in wards.
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This series comprises 527 missile victims of armed combat managed at Base Hospital, Polonnaruwa (BHP) during a five year period commencing January 1984. The injuries were multiple and involved many regions of the body. The results are compared with recent reports from other countries with similar conflicts. The inadequacy of first aid and the lack of organised transport for the victims are emphasised with suggestions to improve the care of such patients.
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People facing death because of incurable illness are likely to suffer intense physical and mental distress. The provision of help and support for them can be seen as a medical discipline in its own right, demanding special training and attitudes. Each country needs to work out the best ways of looking after dying people in accordance with its culture and resources.
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Historical Article
The impact of anaesthesiology on the progress of surgery and medicine.