ABSTRACT
The high incidence of deaths during surgery in tropical countries is reviewed. While a low standard of resuscitation, late surgical intervention, malnutrition and the use of toxic anaesthetic drugs are important causes of a high immmediate surgical mortality rate there is some evidence that the patient's endocrine reaction to surgery is abnormally severe and circulatory complications are common in the operating theatres and wards. The grossly abnormal blood sugar levels during surgery are reported and discussed. The almost complete absence of post opereative pulmonary complications may mask a high surgical morbidity (AU)
Subject(s)
Humans , /mortalityABSTRACT
Halothane does not block the sympathetic response to surgery indicated by a rise in blood sugar and a fall in liver glycogen in Jamaican patients (Summary)
Subject(s)
Humans , Halothane/administration & dosage , Liver Glycogen/metabolism , Blood Glucose/metabolism , Anesthesia, InhalationABSTRACT
The adrenal glands in Jamaicans are smaller than in Europeans. this reduction in size is probably due to a reduced cortical mass. It is suggested that this reduced cortical mass is concerned in the poor response to shock reported in Jamaicans and others of African descent. It may also play some part in the different pattern of disease encountered in Jamaica.(AU)
Subject(s)
Humans , Male , Female , Adrenal Glands , Autopsy , Adrenal Cortex , Adrenal Medulla , Europe , JamaicaABSTRACT
An account is given of some of the principles complications of anaesthesia with appropriate prophylaxis, treatment and prognosis. The importance of hypoxia, as a factor in serious accidents, is emphasized (AU)
