ABSTRACT
Reports are presented on two patients who developed severe paranasal sinusitis in association with prolonged nasotracheal intubation. The likely predisposing factors are discussed.
Subject(s)
Intubation, Intratracheal/adverse effects , Sinusitis/etiology , Adolescent , Adult , Female , Humans , Male , Nose , Time FactorsABSTRACT
The establishment of a Mobile Resuscitation Unit based on a District General Hospital is described. The Unit is manned by hospital-trained ambulance men and by an anaesthetist when necessary. The training of the ambulance men, organization of the service and the results are discussed. The authors recommend the establishment of such a unit in association with an urban district general hospital for the immediate care of all patients who suddenly become seriously ill, regardless of the cause of their illness or accident.
Subject(s)
Emergency Medical Services , Mobile Health Units , Resuscitation , Allied Health Personnel/education , Ambulances , England , Equipment and Supplies , Female , Fractures, Bone/therapy , Humans , Male , Myocardial Infarction/therapy , Patient Care Team , Personnel Staffing and Scheduling , WorkforceABSTRACT
The establishment of a general anaesthetic unit for dental surgery in a hospital for the mentally subnormal is described. The problems encountered in sedating the mentally handicapped patient in such a way as to permit an unhindered induction of anaesthesia are described together with the evolution of a technique of premedication using nitrazepam and droperidol. The medical problems complicating anaesthesia found in this group of patients are enumerated and their effects on the development of a suitable anaesthetic technique are described.
