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Laryngeal mask airway with mouth opening less than 20 mm
We describe the use of a laryngeal mask airway in three adult patients whose mouth opening varied from 12 mm to 18 mm. The first patient’s incisai opening was 12 mm. His airway was otherwise normal and the sta...
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Book Reviews
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Book review
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Anaesthesia services and the education of anaesthetists in Nepal: a model for sustainable development?
In 1985 the University of Calgary in Canada and Tribhuvan University in Kathmandu, Nepal jointly established the Diploma in Anaesthesiology (DA) programme in Nepal. To evaluate the impact of the DA Programme a...
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Informed consent for clinical anaesthesia research
Most surgical patients are first seen by an anaesthetist after admission to hospital, either the evening before or on the day of surgery. Some medical ethicists believe that an approach by an anaesthesia resea...
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Patient recruitment for clinical research
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Comparison of plain with pH-adjusted bupivacaine with hyaluronidase for peribulbar block
Fifty patients scheduled for cataract surgery under peribulbar block were randomised to receive either plain (pH 5.4) or pH-adjusted (pH 6.8 range 6.7–6.9) 0.75% bupivacaine. Hyaluronidase was added to both so...
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Vomiting and aspiration pneumonitis with the laryngeal mask airway
We report a case of severe aspiration pneumonitis in the dependent lung of a 74-yr-old man following Austin-Moore arthroplasty. A laryngeal mask airway provided a clear airway until anaesthesia became too ligh...
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Gastric fluid volume and pH in elective patients following unrestricted oral fluid until three hours before surgery
This clinical study was designed to assess the results of new preoperative fasting guidelines in which patients are instructed that they must not eat any solid food after midnight, but that they may drink unre...
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Abstracts
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Anaesthesia training and development in Nepal 1985–1990
In 1985 a diploma program in anaesthesia was established in Kathmandu, Nepal, as a joint venture between the Institute of Medicine in Kathmandu and the University of Calgary. Development of the program and of ...
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The stomach: Factors of importance to the anaesthetist
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Gastric fluid volume and pH in elective surgical patients: triple prophylaxis is not superior to ranitidine alone
The effect of oral ranitidine alone was compared with sequentially administered ranitidine, metoclopramide, and sodium citrate on gastric fluid volume and pH in 196 healthy, elective surgical inpatients, each ...
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The laryngeal mask airway: clinical appraisal in 250 patients
The laryngeal mask airway consists of a tubular oropharyngeal airway to the distal end of which is sealed a silicone laryngeal mask with an inflatable rim which provides an airtight seal around the larynx. It ...
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Abstracts
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ICI historical anaesthesia videotapes
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Abstracts