D. M. Dent

Hyperpyrexia During Anaesthesia

Work in pigs has shown that malignant hyperpyrexia during anaesthesia may occur without suxamethonium having been given. A virtually constant feature in reported cases and in our own observations is that all subjects developing hyperpyrexia had received nitrous oxide and halothane.

ACUTE HEPATIC COMA TREATED BY CROSS-CIRCULATION WITH A BABOON AND BY REPEATED EXCHANGE TRANSFUSIONS

Abstract A patient in terminal hepatic coma with high-brain-stem dysfunction was treated by multiple exchange blood-transfusions and by cross-circulation with a baboon ( Papio ursinus ursinus ) after the animals blood had been replaced with human blood compatible with that of the patient. Spontaneous respiration was restored by the cross-circulation which was free from complications and the patient subsequently became fully conscious and lost all her abnormal neurological signs.

AINHUM AND ANGIODYSPLASIA

Abstract Peripheral limb arteriography in five limbs in four patients with ainhum showed a consistent abnormality of the blood supply to the foot proximal to the groove found in such patients at the plantar-digital junction. The posterior tibial artery became attenuated at the ankle, and the plantar arch and its branches were absent. The dorsalis pedis artery, its arcuate branch, and the dorstal metatarsal branches were present, thus constituting the only blood supply to the forefoot and little toe.