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OBJECTIVE To review a single-center experience with 201 multivisceral resections for primary colorectal cancer to determine the accuracy of intraoperative prediction of potential curability, to identify prognostic factors, and to examine the effect of surgical experience on immediate outcome and long-term results. SUMMARY BACKGROUND DATA Locally advanced(More)
Neutrophils have been implicated in the pathogenesis of the adult respiratory distress syndrome (ARDS). We have measured concentrations of the neutrophil attractant interleukin-8 in blood and bronchoalveolar lavage fluid (BAL) from patients at risk of ARDS. We studied 29 patients from three groups at risk of developing ARDS: multiple trauma (n = 16),(More)
In vitro migration of alveolar macrophages was studied in 24 fire victims and 19 controls; all subjects were cigarette smokers. Unstimulated (P = 0.01) and stimulated migration towards casein-(P = 0.01) and zymosan-activated serum (P = 0.002) of macrophages from smoke inhalation patients (SI) (n = 19) was increased when compared to control subjects (CS).(More)
Definitive airway control which may require endotracheal intubation with or without an induction agent and muscle relaxant is an essential component of trauma resuscitation. We reviewed the delivery of advanced airway care in the resuscitation room of a regional trauma centre. This prospective survey suggests that in the absence of an experienced(More)
Ninety-one patients were allocated randomly to three groups to receive 1% ropivacaine 10 ml, 0.5% ropivacaine 20 ml or 0.5% bupivacaine 20 ml extradurally. Intermittent sensory (pinprick) and motor (Bromage scale) assessments of the block produced were recorded, with an assessment of the quality of the block and the requirement for supplementary analgesia.(More)
A 64 year old woman was brought by ambulance to the accident and emergency department. She had been referred by her GP because of increasing dyspnoea, cyanosis, and lethargy over the previous four days. On arrival of the ambulance crew at her home she was noted to be tachycardic and tachypnoeic (respiratory rate 36/min) with a GCS of 5 (E 3, M 1, V 1). She(More)
In May 1991 a team of five doctors and two nurses from Edinburgh hospitals were flown to Northern Iraq to assist in the Kurdish refugee relief effort. The two surgical members of the team helped to re-establish surgical services in a small hospital in the Iraqi town of Zakho. During an 8-day stay in the hospital, frequently in extremely difficult(More)