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One hundred patients presenting for surgical treatment of fractured neck of femur were allocated to receive either spinal (SAB) or general (GA) anaesthesia. Before operation, the mean PaO2 was 9.04 kPa. There was a significant decrease in PaO2 of 0.68 kPa in GA group at 1 h after operation, while blood-gas values were unchanged in SAB group. Eight patients (15.7%) in GA group and five patients (10.2%) in SAB group died within 4 weeks of surgery. The difference was not statistically significant.

No abstract

No abstract

The study was undertaken to ascertain whether a light standard breakfast would influence the volume and median pH of gastric contents. Comparisons were obtained between a group of patients (n = 22) fasted overnight and a group (n = 23) allowed a light breakfast. There were no significant differences between the groups in respect of the volume of gastric contents aspirated, the median pH of the gastric contents or the number of patients with a pH of less than 3.0 unit.