Subject(s)
Finger Injuries/surgery , Myocardial Ischemia/etiology , Tourniquets/adverse effects , Adult , Humans , Male , Remission, Spontaneous , Time FactorsABSTRACT
In 1985 and 1990 postal questionnaires were sent to anaesthetic senior registrars in training in the United Kingdom to determine the extent of higher specialist training in chronic pain management. There were wide variations in training and experience amongst senior registrars. Overall there was little change between 1985 and 1990. In particular the number of anaesthetic senior registrars who felt equipped to undertake a consultant post with an interest in chronic pain management had not increased.
Subject(s)
Anesthesiology/education , Education, Medical, Continuing/trends , Medical Staff, Hospital/education , Pain Management , Chronic Disease , Humans , Surveys and Questionnaires , United KingdomABSTRACT
A double-blind comparison of prilocaine and prilocaine plus potassium chloride, and of bupivacaine with bupivacaine plus potassium chloride, in brachial plexus blockade (axillary approach) was obtained in two groups of 20 patients. The addition of potassium chloride made no difference to the characteristics of the block with prilocaine, but resulted in a more rapid onset of sensory loss when added to bupivacaine.
Subject(s)
Brachial Plexus , Bupivacaine , Nerve Block , Potassium Chloride , Prilocaine , Adjuvants, Anesthesia , Adult , Clinical Trials as Topic , Double-Blind Method , Humans , Middle Aged , Time FactorsABSTRACT
A retrospective study of 56 children with dislocation of the hip presenting late found that the mean age at which the parents first noticed that something was wrong (including hip abnormalities found at birth in 10 patients) was 11 months, but that at diagnosis was 26 months, a mean delay of 15 months. The reasons for delay were failure to examine the hips at birth (13 cases), failure to follow up abnormalities at birth (7), failure of symptoms noticed by the parents to alert the health-care professional to the possibility of a dislocated hip (36), failure to check the hips routinely after 3 months (27), and failure of the parents to appreciate the significance of abnormalities and to act on them (28). Hip screening should continue beyond the neonatal period and should include routine checks on all children until they are walking normally. A greater awareness in health-care professionals of the features of hip dislocation and further health education for parents are needed.