Peter M Kempthorne

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BACKGROUND Safe anesthesia and surgical care are not available when needed for 5 billion of the world's 7 billion people. There are major deficiencies in the specialist surgical workforce in many parts of the world, and specific data on the anesthesia workforce are lacking. METHODS The World Federation of Societies of Anaesthesiologists conducted a(More)
Mucopolysaccharide infiltration of tissues in Hurler, Hunter, San Filippo, Maroteaux-Lamy, Morquio and Scheie syndromes causes problems to anaesthetists in the management of the airway and in myocardial function. Recent experience at the Royal Children's Hospital, Melbourne, is presented with illustrations highlighting these problems.
Continuous interpleural analgesia provided by 4 hourly injections of 20 ml bupivacaine 0.5% with adrenaline 5 micrograms/ml was compared with placebo in a randomised, double-blind study after cholecystectomy. All patients self-administered intravenous morphine using a patient-controlled analgesia device. There was a highly significant difference in mean(More)
This Invited Commentary accompanies the following article: over a decade for anaesthetists around the world to respond to the alert raised by Arieff et al. when 16 previously healthy children in the region had a respiratory arrest associated with post-operative hyponatraemia. Nine of these died and the rest were severely brain damaged. Children are still(More)
AIMS To audit the use of inhaled nitric oxide for the treatment of persistent pulmonary hypertension of the newborn in New Zealand neonatal intensive care units. METHODS Prospective data collection on all infants treated with inhaled nitric oxide in neonatal intensive care units in the 20-month period from first use to December 1995. Data included(More)
Spastic equinus, resulting from severe head injury in children, can greatly impede their rehabilitation. The use of a temporary tibial nerve block to negate the neurological component of the equinus, prior to the application of inhibitory plasters, is described and the rationale detailed. Subsequent physiotherapy management, including the application of the(More)
Analgesia below the knee can be achieved by blocking the tibial nerve and the common peroneal nerve in the popliteal fossa, and the saphenous nerve adjacent to the knee. The anatomy and technique of nerve block in the popliteal fossa is described, the nerve being located prior to blockade using a peripheral nerve stimulator. The block as described has been(More)
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