Thom Lambert

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The relationship between lung liquid flow and fetal lung development has been studied at the cellular level using ultrastructural techniques. Continuous in utero tracheal ligation and drainage (over a period of 21-28 days) both result in malformations of the developing fetal lamb lung. Ligated lungs are larger, and drained lungs are smaller, than normal(More)
This paper reviews factors which may influence the vigilance tasks of an anaesthetist during an anaesthetic. Vigilance tasks are found to be unlike any other automatic, repetitive or monotonous tasks. While many factors affect vigilance and may result in performance decrements during psychological testing, little of this work has been done on anaesthetists.(More)
Sixty women having laparoscopic sterilisation performed under general anaesthesia were randomly allocated to one of two groups. Intraoperatively, one group had bupivacaine applied topically to the fallopian tubes and injected into the skin wounds, while the other group received no local anaesthetic. A double-blind investigation utilising a visual analogue(More)
For some time it has been suggested that breathing movements are made "in utero" and recently measurements of tracheal pressure and lung liquid flow in chronic fetal preparations have led to the hypothesis that rapid changes in these parameters are the result of respiratory muscle activity. To test this hypothesis diaphragmatic electrical activity was(More)
Experiments were carried out on foetal lambs in utero from 103 to 133 days' gestation, to measure the daily flow and solute composition of liquid from the foetal lung. The mean daily flow from foetuses with a tracheal fistula was 231 ml/day (9.6 ml/h), while the mean hourly flow in foetuses with a tracheal loop was 5.1 ml/h. The pattern of flow of lung(More)
The anaesthetist's role during an anaesthetic is one of vigilance. Any interaction between tutor and student in this situation must be structured around the vigilance task. Teaching that recognizes this role may be educationally fruitful and may even improve vigilance. Teaching which disregards this function is less likely to result in learning and may(More)
A truly automated recording system is one which measures the parameters selected and requires nothing more than attaching the monitors to the patient. It should be capable of being easily and rapidly started when appropriate. The user should then be able to enter quantitative and qualitative information about drug and fluid therapy in a manner which is less(More)