OBJECTIVE To compare axillary brachial plexus block and Bier's block as methods of providing upper limb anaesthesia. METHODS Axillary brachial plexus or Bier's blocks were performed on all patients requiring upper limb anaesthesia in a three month period. For Bier's block, a single cuff tourniquet and 3 mg/kg 0.5% prilocaine were used. For axillary plexus block, 40 ml 1% lignocaine with adren...

The main purpose of all anaesthesia techniques is to produce the most possible painless operation, without stressing emotions for the patient. A complete safety is obtained with a local anaesthesia more than with a general anaesthesia. However, it is important to avoid any pain on injection if a local anaesthetic is used. Further advantages of regional anaesthesia for ophthalmic plastic procedu...

Spinal anaesthesia (SA) is widely used in day surgery because it is easy and cheap. But how cheap is SA really, when compared to modern general anaesthesia with short-acting agents? The aim of this study was to compare SA to three modes of general anaesthesia in terms of the total costs of anaesthesia during outpatient knee arthroscopy (KA). There were 173 patients scheduled for elective KA ran...

Patients are normally thought to have recovered from general anaesthesia within a few hours after day-case surgery. Previous recovery studies using objective psychometric tests showed a return to baseline values within this period. Nevertheless, patients are advised about what activities they should not undertake in the subsequent 24 h because it is feared that the residual anaesthetic effects ...

The treatment of bilateral inguinal hernias using totally extraperitoneal laparoscopy is usually done with general anaesthesia. The objective of this article is to evaluate the regional anaesthesia technique in extraperitoneal laparoscopic surgery for treating bilateral inguinal hernias in an outpatient surgery unit. Prospective clinical study of 30 patients with uncomplicated bilateral inguina...

1 Dahlmann AH, Appaswamy S, Headon MP. Orbital cellulitis following subTenon’s anaesthesia. Eye 2002; 16: 200–1. 2 Stevens JD. A new local anaesthesia technique for cataract extraction by one quadrant sub-Tenon’s infiltration. British Journal of Ophthalmology 1992; 76: 670–4. 3 Guise PA. Single quadrant sub-Tenon’s block. Evaluation of a new local anaesthetic technique for eye surgery. Anaesthe...

Regional anaesthesia provides many advantages and can be practised safely in ambulatory surgery. It provides better postoperative pain control, avoids many complications associated with general anaesthesia and shortens recovery time. However, extra time required, associated complications and acceptance of patients are the factors of concern in practising regional anaesthesia in an ambulatory se...

Hand implantation surgery is always on an urgent basis and lasts for many hours. Simple, safe and reliable anaesthesia would be necessary and many types of anaesthetic techniques have been advocated. General anaesthesia is effective, but there are problems associated with a prolonged general anaesthesia with an increase in the incidence of hypothermia, accidental intraoperative awareness and a ...

The requirement to change position whilst under general anaesthesia may expose patients significant risks. We devised and implemented a concise comprehensive patient positioning safety tool with the aim of reducing risks improving during changes anaesthesia.
 doi: https://doi.org/10.12669/pjms.39.4.7965
 How cite this: Hussein K, Lal S, Moore M, Leonard I. Improving anaesthesia: “CHOP...