Post operative extradural analgesia: Prophylaxis against pulmonary complications
digital file Colour Sound 1963 14:06
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Summary: The problem of the accumulation of secretions during surgery due to the effects of anaesthesia is described in this film. There are a number of case studies which demonstrate that the administration of analgesia post operatively in the form of Duncaine greatly relieves pain and results in the patients recovering quickly from their operations. 4 segments.
Title number: 17946
LSA ID: LSA/21103
Description: Segment 1 An elderly male patient sits in bed coughing. The narrator explains a common complication of anaesthesia (due to repressed respiration) is that secretions gather in the patients' lungs. A method of inserting a catheter into the back of a female patient is shown so that continual analgesia can be dispensed to the same site without causing infection this was developed in Oxford. Diagrams show how the needle reaches the extradural space, thereby blocking pain to the mid-torso. Time start:00:00:00:00 Time end: 00:03:53:00 Length: 00:03:53:00 Segment 2 A male patient undergoes a partial gastrectomy operation and the next day he is shown in his hospital bed, clearly in pain. After administering analgesia, Duncaine, he is considerably chirpier, sitting up and chatting to the nurse. He is allowed to get out of bed, paces up and down and swings his arms above his head whilst holding his intravenous drip. Time start: 00:03:53:00 Time end: 00:07:43:10 Length: 00:03:50:10 Segment 3 A male patient aged 55 is shown in bed after a gall bladder operation he too is in pain until analgesia is given. He performs sit-ups in bed to demonstrate the lack of pain. After this moderate exercise, although not shown on camera, it is noted that the patients' blood pressure is checked. Another patient, described as a red-headed labourer, also benefits from analgesia given after a partial gastrectomy this sequence follows the same pattern before and after pain relief.. Time start: 00:07:43:10 Time end: 00:11:21:00 Length: 00:03:38:15 Segment 4 A woman of 41 is shown post-operatively she is in pain and her respiration is depressed but after receiving Duncaine she is described as co-operating fully by breathing deeply and coughing. Finally she falls asleep. Time start: 00:11:21:00 Time end: 00:14:06:21 Length: 00:02:45:21
Credits: Demonstrated by Dr B.R. Simpson. Photographed by Esmond Wilson.
Further information: Material from the film collection comprising of 55 items donated by Nuffield Department of Anaesthetics, Oxford, to the Wellcome Trust in 2008. In 1937, Lord Nuffield established a clinical chair of anaesthesia in Oxford amidst some controversy that anaesthesia was even an academic discipline. The collection is a mixture of clinical and educational films made or held by the department to supplement their teaching dating from the late 1930s onwards
Keywords: Analgesia; General Surgery -- history
Locations: United Kingdom
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