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Lumbar epidural blockade has been used in 317 subjects to compare the analgesic properties of the hydrochloride salts of lignocaine and prilocaine in 2 per cent and 3 per cent concentrations, with and without 1/200,000 adrenaline. Prilocaine has a slower onset and spread of analgesia than lignocaine. Duration of action and intensity of motor blockade is greater with plain prilocaine than with p...
BACKGROUND Numerous published studies have explored associations between anaemia and adverse outcomes after surgery. However, there are no evidence syntheses describing the impact of preoperative anaemia on postoperative outcomes. METHODS A systematic review and meta-analysis of observational studies exploring associations between preoperative anaemia and postoperative outcomes was performed....
BACKGROUND Minimal access surgery for gastrointestinal cancer has short-term benefits but is associated with a proficiency-gain curve. The aim of this study was to define national proficiency-gain curves for minimal access colorectal and oesophagogastric surgery, and to determine the impact on clinical outcomes. METHODS All adult patients undergoing minimal access oesophageal, colonic and rec...
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