ANZ journal of surgery
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ANZ journal of surgery · Mar 2005
Nerve injuries in orthopaedics: is there anything more we need to tell our patients?
Perioperative nerve injuries are uncommon in most elective orthopaedic operations. However, despite the low incidence, patients tend to be most unforgiving when this complication occurs. The present study aims to determine the adequacy of the consent process, and seeks to identify deficiencies. ⋯ The need to adequately provide informed consent for nerve dysfunction is present. The present study demonstrates a dilemma between the provision of information and the creation of fear in the minds of recipients of surgery.
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There are significant advantages to the practice of bilateral ankle block. However, clinicians are reluctant to employ this technique due to concerns over reliability, local anaesthetic longevity and toxicity, surgical efficiency, and patient comfort. ⋯ The present audit demonstrates that bilateral ankle blocks are a safe and efficient technique. With appropriate doses of sedative drugs both during insertion of the ankle block and surgery, patients remain comfortable.
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ANZ journal of surgery · Jan 2005
Letter Case ReportsLaparoscopic hepatectomy for hepatocellular carcinoma: a caution.
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Trauma teams have been associated with improved survival probability of paediatric trauma patients. The present study seeks to estimate the use of trauma teams in Australian paediatric tertiary referral centres and describe their medical composition, leadership and criteria for activation. ⋯ Trauma teams are utilized by most Australian paediatric tertiary referral centres, with fairly uniform medical composition and criteria for activation. Paediatric surgeons presently have limited leadership roles and membership of Australian paediatric trauma teams.