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Outcome of meningitis and sepsis—mixed news

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Arch Dis Child 2001 Volume 85 No 1

Where are we kinder, Boston Mass. or Boston Lincs.?

As a young paediatrician I cheerfully conducted marrow aspirations and lumbar punctures, using such potentially dangerous drugs as rectal barbiturates, intravenous benzodiazepines, and ketamine. The advantages were that procedures could be done quickly, on the ward, without the tedium of negotiating with anaesthetists and booking a theatre (operating room). The disadvantage was the innocent disregard of proper safety standards for a potentially unconscious patient. The anaesthetist's union has, in the UK at least, largely put a stop to such amateur fumblings but what to do for the best is still a question. Last year we published, under our heading “Controversy”, a debate about the safety of deep sedation when performing magnetic resonance imaging.1

This month we take the debate a stage further. Hain and Campbell (page12) have compared how invasive techniques are carried …

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