RESUMO
The intraoperative control of cardiovascular disturbances associated with the resection of phaeochromocytoma is traditionally achieved by the use of deep anaesthesia in conjunction with A and B blockers, calcium antagonists, nitroglycerine or sodium nitroprusside. We report the successful use of magnesium sulphate as adjunctive therapy in the control of the cardiovascular consequences associated with surgical resection of a phaeochromocytoma in a patient.(Au)
Assuntos
Adulto , Relatos de Casos , Feminino , Humanos , Feocromocitoma/cirurgia , Sulfato de Magnésio/uso terapêutico , Complicações Intraoperatórias/tratamento farmacológico , Hipertensão/tratamento farmacológico , Neoplasias das Glândulas Suprarrenais/cirurgiaRESUMO
Burn injuries form a major part of the spectrum of trauma which absorbs so much of the health care resources in developing countries. The Jamaica Burn Programme was established to address this problem, through the collection and analysis of local information about burns and through the education of health and other interested professionals in the prevention and care of burn injuries. The first step was the establishment of a Burn Unit in May 1986 at the 500 bed University Hospital of the West Indies. The following year, a Post Basic Course for nurses was introduced and, to date three groups have graduated from this programme. In June 1988, a three day international symposium was held at the Medical Faculty of the University of the West Indies. One year later, a smaller meeting was held.The papers at both of these covered many relevant areas of burn care and were of excellent quality. The editors consider themselves fortunate to have been able to collect the majority of them for publication. This text is provided for the benefit of those who have the responsibility for promoting burn prevention or for caring for those with burn injuries (AU)
Assuntos
Humanos , Criança , Queimaduras/terapia , Congresso , Ferimentos e Lesões , Modalidades de Fisioterapia , Reabilitação/métodos , Reabilitação/enfermagem , Complicações Intraoperatórias/reabilitação , JamaicaRESUMO
A case of cardiac arrest, occuring during an abdominal operation and treated successfully by cardiac massage, is recorded. The importance of early diagnosis and immediate treatment with cardiac massage by a trans thoracic approach is stressed. Factors probably responsible for the recovery of this patient are suggested. The site of the thoractomy incision and drainage of the chest are discussed. (AU)
