concept

A technical film (part of a series) apparently aimed at the inexperienced anaesthetist. Emergency situations together with appropriate equipment are demonstrated. Training staff in resuscitation methods is encouraged. Sylvester's method is recommended, although chest massage and mouth-to-mouth are also shown. Emergencies covered are a female patient who has stopped breathing; she is intubated orally and artificial respiration is performed; a male patient in cardiac arrest. 3 segments

Technique of anaesthesia series

1 encoded moving image (14:04 mins) : sound, black and white.

Respiratory and cardiac arrest. No. 9.

Intertitle explaining that sudden heart failure during anaesthesia may be due to (i) Anoxia or (ii) action of the agent on the heart. This is about emergency situations. Standby apparatus is laid out and should include a cylinder of oxygen with tubing as well as sterile needles and syringes, vials of stimulant drugs. Wooden wedge and mouth gags are also required. Training staff in resuscitation methods is also encouraged. Sylvester s method is recommended although chest massage and mouth-to-mouth are also shown. The next emergency is Respiratory Obstruction or Arrest . A female patient who has stopped breathing is shown; her recovery is dependent on her general health, her medical records are briefly referred to and the situation in the operating theatre - what kind of anaesthetic has been used and whether a tube can be applied nasally and her airway cleared. She is intubated orally and artificial respiration is performed. The next situation is Cardiac Arrest ; a pale patient is shown. Signs of arrest are that the skin goes grey, pupils are part dilated. Circulation has to be reinstated within 4 minutes to stop damage to the brain. Artificial respiration is initiated with oxygen. Needles are used to stimulate the intercostal space, if this is unsuccessful then the surgeon has to perform heart massage by opening the chest wall and massaging within the cavity. Next the diaphram is opened so that the heart can be massage directly. If this is unsuccessful then more procedures are suggested until the heart starts beating again. All along artificial respiration is required with oxygen. A saline drip is applied. The anaesthetist should accompany the patient back to the ward. Preferably with oxygen still in place. ICI The End.

Technique of anaesthesia series.

1 film reel (14:17 mins): sd., b&w.; 16mm.

1 Digibeta (14:17 mins): sd., b&w.; PAL. 1 VHS (14:17 mins): sd., b&w.; PAL. 1 DVD (14:17 mins): sd., b&w.; PAL.

Part of a series apparently aimed at the inexperienced anaesthetist. This title (part two of two) continues with incorrect and correct procedure around the patient. This part focuses on the patient's return from surgery. (2 segments)

1 encoded moving image (08:33 mins) : sound, black and white.

Handling and care of the patient (part two). No. 11.

A patient is wheeled along a hospital corridor accompanied by a male clinician and a nurse; these people are responsible for his well-being The first section is entitled Incorrect procedure ; firstly a female patient is left alone in a room and appears very anxious, the camera follows her line of vision around the room as it moves erratically over all the unfamiliar equipment. Hospital staff come and go; the narrator refers to the room becoming a corridor and storeroom. Neither the nurse nor the anaesthetist communicate with the patient whilst all the equipment is checked. A surgeon briefs his students showing an unidentifiable part of human anatomy in a dish; the anaesthetist does not wash his hands and puts the mask directly onto the patient s face with no forewarning. The wretched patient panics as the blankets are removed from her legs, thinking that surgery will commence and the nurse, the anaesthetist and porter all have to physically restrain her. The catalogue of errors continues when her arm dangles free, then her head is allowed to flop backwards. The next section refers to Correct Procedure ; the same scenario is repeated with a male patient but demonstrating good practice. The anaesthetist checks the patient s records. The nurse holds and strokes the patient s hand. The patient is prepared for surgery. Intertitle; On the table 1. Position. The arms and hands are tucked under the body; otherwise cuffs can be used a method with towels is also shown. Alternative positions with the arms on the chest are also shown. 2. Warmth. Spare blankets are shown being placed onto a radiator and put in a warming cupboard. The body is covered by light blankets/ towels. A bald patient is shown having his head lightly covered to prevent heat loss. 3. Care of the eyes. Eyes usually close automatically but if they do not, to prevent anaesthetic eye (where the ether soaked gauze abrades the eye), the eyes are closed manually. 4. Respiratory embarrassment. Surgery is underway on a man; the anaesthetist notices that the patient s breath is repressed. The surgical instruments are resting on the patient s chest and one of the attendants leans on the patient. The anaesthetist draws everyone s attention to this. 5. Change of position and handling. The patient must be handled gently in case there is a change in blood pressure. A female patient is shown being tossed to and fro.

1 Digibeta (15:55 mins): sd., b&w.; PAL. 1 VHS (15:55 mins): sd., b&w.; PAL. 1 DVD (15:55 mins): sd., b&w.; PAL.

Handling and care of the patient (part one). No. 11.

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Hunter, Rosanne.

Catalogue

Respiratory and cardiac arrest. No. 9.

Respiratory and cardiac arrest. No. 9.

Respiratory and cardiac arrest. No. 9.

Handling and care of the patient (part two). No. 11.

Handling and care of the patient (part one). No. 11.

Wellcome uses cookies.

Hunter, Rosanne.

Catalogue

Respiratory and cardiac arrest. No. 9.

Respiratory and cardiac arrest. No. 9.

Respiratory and cardiac arrest. No. 9.

Handling and care of the patient (part two). No. 11.

Handling and care of the patient (part one). No. 11.

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