Minerva

Minerva

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7060.828 (Published 28 September 1996) Cite this as: BMJ 1996;313:828

Treatment of the respiratory distress syndrome in premature infants has taken another step forward with a trial in the United States of partial liquid ventilation with perflubron (New England Journal of Medicine 1986;335:761-7). Infants who did not respond to treatment with surfactant were intubated and ventilated and had the perfluoro-carbon liquid instilled into the lungs. The treatment replaces the alveolar membrane gas-liquid interface with a liquid-liquid interface, and the incompressible liquid largely replaces the gas functional residual capacity. Eight of the 10 infants who were treated survived to 36 weeks corrected gestational age, and in seven neurodevelopmental tests gave satisfactory results.

Laparoscopic appendicectomy has never become popular in Britain, says an editorial in the “British Journal of Surgery” (1996;83:1169-70). Only 1% or so of patients having an appendicectomy have the laparoscopic procedure despite some apparent advantages. The probable reason for the continuing popularity of open appendicectomy is that the operation is commonly done out of hours by trainees with neither the experience nor the confidence to attempt a laparoscopic approach.

A comparison by child psychiatrists of 683 only children with 2364 children from two child families found few differences and none after the age of 5 (Journal of Child Psychology and Psychiatry 1996;37:753-7). The parents of the only …

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