Alistair Macfie

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OBJECTIVE The authors sought to provide a snapshot of contemporary thoracic anesthetic practice in the United Kingdom and Ireland. DESIGN An online survey. SETTING United Kingdom. PARTICIPANTS An invitation to participate was e-mailed to all members of the Association of Cardiothoracic Anaesthetists. INTERVENTION None. MEASUREMENTS AND MAIN(More)
Mean transit time (MTT), coefficient of variation (COV), and index of skewness (IOS) of transit times were measured, with the more conventional derivatives of the forced expiratory spirogram, in 178 healthy people aged 6-71 yr breathing air, and in 18 healthy adults breathing 20% oxygen in helium (O2He) in addition. Breathing O2He very significantly altered(More)
AIM To report the sources of stress and satisfaction in the specialist workforce of three crown health enterprises (CHEs). METHOD Ninety eight specialists in Northland Health, Waitemata Health and Southern Health completed a questionnaire rating 39 factors for causing stress and satisfaction in their daily work. RESULTS The commonest sources of stress(More)
Intercostal nerve block is a recognized way of providing analgesia at thoracotomy. There is a rare association between intercostal nerve block and the complication of total spinal anesthesia. This may arise inadvertently by injection into a dural cuff extending outside the intervertebral foramen. We report our experience with a patient who sustained this(More)
Maximal expiratory flow/volume curves were recorded from 155 healthy, non-smoking Europeans aged seven to 71 yr and 42 Polynesian children aged nine to 11 yr. Forced vital capacity (FVC), forced expiratory volume in 1s (FEV1), FEV1/FVC, peak expiratory flow (PEF) and flow at 50 and 25% of FVC (V50 and V25) were compared with the predictions made from the(More)
PURPOSE The main objective of this survey is to describe the current practice of thoracic anesthesia in the Middle Eastern (ME) region. METHODS A prospective online survey. An invitation to participate was e-mailed to all members of the ME thoracic-anaesthesia group. A total of 58 members participated in the survey from 19 institutions in the Middle East.(More)
The mean transit time (MTT), coefficient of variation (CoV), and index of skewness (IoS) of transit times of the forced expiratory flow/time curve have been compared with maximal mid-expiratory flow (MMEF), flow at 75, 50, and 25% of vital capacity (V75, V50, and V25), and the ratio of forced expiratory volume in 1 second (FEV1) to vital capacity (VC) in 51(More)