Possible inadvertent subdural block following attempted stellate ganglion blockade

A case is reported of suspected inadvertent subdural block following attempted stellate ganglion blockade for relief of cervicobrachial pain in a patient suffering from reflex sympathetic dystrophy. Possible complications due to neuraxial spread of local anaesthetics while performing a cervicothoracic ganglion blockade are considered.

Spinal cord stimulation in chronic pain: evaluation of results, complications, and technical considerations in sixty-nine patients

Sixty-nine patients undergoing spinal cord stimulation (SCS) were studied for a period of up to 8 years. Indications, implantation techniques, and stimulation systems are presented in this article. Pain-suppressor effects of SCS are reviewed, assessing the clinical efficacy over time as well as complications with the stimulation device. Immediately following implantation, inadequate pain relief was noted in 20% of the patients. Decrease of the efficacy of pain alleviation occurs during the first 3 years after implantation. Most failures are noted in patients presenting with failed back surgery. This study also demonstrates that SCS systems should offer the capability of both monopolar and bipolar stimulation modes by the use of multipolar electrodes.

Intrathecal sufentanil as a supplement to subarachnoid anaesthesia with lignocaine

The combination of low-dose sufentanil with lignocaine for subarachnoid anaesthesia was studied in a double-blind comparative trial in 40 urological patients. Patients were allocated randomly to two groups and received 5% heavy lignocaine 1.5 ml together with either 1.5 ml of sufentanil 5 micrograms ml-1, or physiological saline 1.5 ml. No statistically significant differences were observed between the two groups with respect to analgesia or anaesthesia. The only clear benefit of the addition of a low dose of sufentanil to lignocaine was the significantly longer period of postoperative analgesia. There was no significant difference in the number of patients requiring supplementary analgesics. Side-effects were similar in both groups.

Physical work capacity and classroom attention of handicapped and non-handicapped children

The relationship between Physical Work Capacity (PWC) and 'attention in the classroom' was examined using a differential design, with 15 handicapped (age range 94-167 months) and 20 non-handicapped children (age range 91-141 months). The PWC was measured with the aid of a bicycle ergometer and the childrens' attention by means of an observation instrument developed for the purpose. On both variables the non-handicapped children differed significantly from the handicapped children. A low, non-significant relationship was found between scores obtained from the observaton instrument and a teachers' questionnaire for classroom attentional behaviour. The correlation between PWC and 'attention in the classroom' within the two groups was found to be non-significant but different in sign. This suggested relationship betwen PWC and attention merits further study. Suggestions are made with respect to physical training programmes for handicapped children.

A consumer perspective of the South African red meat classification system

The South African consumer market is characterised by socio-economic and cultural diversity. Food expenditure patterns, behaviour and preferences differ significantly between the various socio-economic sub-groups. Packaging information, including red meat classification information, could be an important tangible resource used by consumers to gauge product quality. The first objective of the research reported in this paper is to investigate the red meat knowledge, usage and perceptions regarding beef and sheep meat classification and related quality parameters among South African consumers. Consumer perceptions of red meat classification were extracted from a comprehensive consumer survey among stratified representative samples of South African low-, middle- and high-income consumers (n = 165, n = 171 and n = 249). The paper also briefly reports on an in-store ‘observational’ research project that was conducted to develop an understanding of the communication of carcass classification to consumers through fresh red meat product labels at independent butchers and large retailers across South Africa (n = 60). Low-income consumers had very limited understanding and gave little attention to red meat classification. Even though middle-class and wealthy consumers also have a limited understanding of red meat classification, about half of these consumers check for a classification mark. Red meat classification was not mentioned by consumers as a major concern regarding red meat, but related aspects were important such as quality, fattiness, tenderness, juiciness, taste, freshness, smell and appearance. Purchase considerations for beef and mutton/lamb focussed largely on safety, appearance, price and eating quality. Labelling information observed at retail outlets gave very little attention to classification. There is a definite need for consumer education relating to the red meat classification system and for the development of an appropriate front-of-pack labelling system to communicate red meat classification.Keywords: Beef, high-income, knowledge, labelling information, lamb, low-income, middle-income, mutton, perceptions