eLetters

113 e-Letters

published between 2004 and 2007

  • Improper surgical technique
    Vijay Ramachandran

    Dear Editor

    In the case reported by Goyal et al. regarding the presence of a gastrointestinal tumour in a hernial sac, it appears that poor surgery is being passed off as a "lesson" to be learnt by the readers. The presence of a haematoma in an otherwise empty hernial sac should definitely alert the surgeon to the presence of strangulated bowel which has probably reduced into the peritoneal cavity. Having ma...

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  • Compassion and Communication are the key
    Huw C Morgan

    Dear Editor

    Professor Nolan deserves congratulation on his excellent editorial on the need for humanity from doctors towards patients. As someone who has been involved for years in educating Family Doctors in both the UK and developing countries I fully endorse all that he says. Experience of Family Medicine development in many developing countries confirms that where there has been no culture of compassion or comm...

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  • Tissue oxygenation - oriented Approach to patients with ARDS
    Mohamad Abdelsalam Abdelkader

    Dear Editor

    Despite the great advances in critical care medicine, the mortality of ARDS is still high. Protective ventilatory strstegy - utilizing lower tidal volumes and PEEP levels to prevent atelectatic trauma regardless of arterial oxygenation - has been used in an attempt to reduce the mortality of ARDS. Both conventional and protective ventialtory strategies concenterate more on achieving satisfactory arteria...

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