Steven Nimmo

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BACKGROUND For colorectal surgery, evidence suggests that optimal management includes: no pre-operative fasting, a thoracic epidural analgesia continued for 2 days post-operatively, and avoidance of fluid overload. In addition, no long-acting benzodiazepines on the day of surgery and use of short-acting anaesthetic medication may be beneficial. We examined(More)
Editorial the heartsink consultation in occupational health practice The term 'heartsink patient' was first used by O'Dowd in 1988 to describe patients who engender a feeling of intense dysphoria in doctors. Terms used to describe that dysphoria include 'exasperate', 'overwhelm', 'anger', 'inadequacy' and 'frustration'. While these patients present with a(More)
BACKGROUND Combined oral modified-release oxycodone-naloxone may reduce opioid-induced postoperative gut dysfunction. This study examined the feasibility of a randomized trial of oxycodone-naloxone within the context of enhanced recovery for laparoscopic colorectal resection. METHODS In a single-centre open-label phase II feasibility study, patients(More)
OBJECTIVE To establish the appropriateness of bed usage for acute care within the medical directorates of two district general hospitals using a validated assessment tool, the Emergency Admission Review (EAR). This tool assesses the appropriateness of day of care against strict criteria and allows classification of care as either acute or non-acute. (More)
The weights of 10 litters of pigs were recorded weekly to eight weeks of age and the time required to reach slaughter weight was also recorded in a herd with poor eight-week weaning weights (mean 13.9 kg). The mean rate of daily live-weight gain was calculated for weekly periods for the pigs of five litters to eight weeks of age. Significant falls in(More)
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