what's a Barnsley chop then Rowley?
> ----------
> From:
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> uk]
> Sent: 20 January 2000 16:27
> To: [log in to unmask]
> Cc: [log in to unmask]
> Subject: Re: Mask ventilation
>
> Possibly. I tried it with 5cm of AP on an elderly lady with severe primary
> respiratory failure - had a URTI for a few days treated by the GP with
> antibiotics, seemed to be getting better and then found unresponsive by
> husband. Gases on admission were pO2 of 7 (all units kPa) and pCO2 of 12,
> and when we asked for an ITU bed EBS told us that there were none in the
> country. So the earlier posting (and this is on a different day) about
> Calais was correct. To my eternal shame, the thought flashed through my
> mind that perhaps we could simply treat conservatively. No, this patient
> needed treatment, and Government-imposed quotas weren't going to stop me.
> So I tried CPAP, and once we had got a seal, monitored her gases. I
> was quite encouraged when her oxygen got to 8.55, but not so happy when I
> realised that the pCO2 was 20.5! No option but to intubate and
> ventilate. The lady was sent to HDU on a theatre anaesthetic machine to
> ventilate her! And two hours later we had a man in with a Barnsley chop -
> so he needed ventilation too...
>
> I realise that a series of one is of anecdotal interest only, but it
> didn't seem to be able to help her increasing tiredness (not to mention
> the CO2
> narcosis!) enough . Interestingly, it only took half-an-hour on IPPV for
> her gases to recover dramatically.
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
>
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