Front Matter (PDF) - BJA

VOLUME 62 • NUMBER 6 • JUNE 1989
Editor: GRAHAM SMITH

Athena
Already installed in UK hospitals,
Athena is proving its total flexibility in
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Athena is a fully modular system so
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Athena will collect, handle and
present up to 16 physiological
parameters on its high resolution 12"
monitor, from ECG and respiration
through to cardiac out-put, endital
C02 and oxygen saturation.
Central monitoring of up to 24
connected bedside scopes, and bed
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providing simple to operate, flexible,
yet very sophisticated patient
monitoring.
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EDITORIAL BOARD
Editor
G. SMITH, Professor of Anaesthesia, University of Leicester Medical School, Leicester
Editors of Educational Reviews
A. P. ADAMS, Professor of Anaesthetics, United Medical and Dental Schools of
Guy's and St Thomas's Hospitals, University of London
C. J. HULL, Professor of Anaesthesia, University of Newcastle
J. A. W. WILDSMITH, Consultant Anaesthetist, Royal Infirmary, Edinburgh
G. DRUMMOND, Consultant Anaesthetist, Royal Infirmary, Edinburgh
F. R. ELLIS, Reader in Anaesthesia, University of Leeds
G. M. HALL (Secretary), Reader in Anaesthetics, University of London, Royal
Postgraduate Medical School
D. J. HATCH, Consultant in Anaesthesia and Respiratory Measurement, The
Hospital for Sick Children .
J. G. JONES, Professor of Anaesthesia, University oj Leeds
W. W. MAPLESON, Professor of the Physics of Anaesthesia, University of Wales
College of Medicine, Cardiff
J. NORMAN (Treasurer), Professor of Anaesthetics, University of Southampton
J. F. NUNN, Head of Division of Anaesthesia, Clinical Research Centre, Harrow;
Honorary Consultant Anaesthetist, Northwick Park Hospital
J. P. PAYNE, Emeritus Professor of Anaesthesia, University of London
A. A. SPENCE (Chairman), Professor of Anaesthetics, Royal Infirmary, Edinburgh
M. K. SYKES, Nuffield Professor of Anaesthetics, University of Oxford
J. E. UTTING, Professor of Anaesthesia, University Department of Anaesthesia,
Royal Liverpool Hospital
Associate/Assistant Editors
D. FELL, Senior Lecturer, University of Leicester
C. D. HANNING, Senior Lecturer, University of Leicester
D. J. ROWBOTHAM, Senior Lecturer, University of Leicester
D. A. B. TURNER, Consultant Anaesthetist, Royal Infirmary, Leicester
Technical Editor
MRS S. E. LOWRY, PH.D., 19 Maiden Erleigh Drive, Reading, Berks
British Journal of Anaesthesia ISSN 0007-0912 (monthly). Second Class postage paid, Rahway N. J.
Postmaster: send address corrections to B.J.A. c/o Mercury International Ltd, Inc., 2323 Randolph
Avenue, Avenel, N.J. 07001. (U.S.A. Subscription 8131.)

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iv BRITISH JOURNAL OF ANAESTHESIA
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The programme will be devoted to advances in research and treatment of acute and
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postoperative pain.
For information: Pain 1989 Secretariat,
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Tel.: (03) 654571
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bridge the safety gap from
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Diagnostic pulse wave
Monitoring the plethysmographic
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BRITISH JOURNAL OF ANAESTHESIA
EAST AFRICAN SOCIETY OF ANAESTHESIOLOGISTS
ANNUAL SCIENTIFIC MEETING
and
REFRESHER COURSE
Arusha, Tanzania September 7-9, 1989
The Annual Scientific Meeting will be preceded by a Refresher Course sponsored
jointly by the W.F.S.A., the University of Dar-es-Salaam and the Society.
Further information from: Dr H. Luveno,
P.O. Box 7097,
Dar-es-Salaam.
Dr E. Egan,
P.O. Box 3010,
Moshi,
Tanzania.
15th INTERNATIONAL CONGRESS
ISRAEL SOCIETY OF ANESTHESIOLOGISTS
Tel Aviv, Israel September 19-22, 1989
First announcement and call for papers.
Secretariat: Anesthesiologists 1989 Congress,
P.O. Box 50006,
Tel Aviv 61500,
Israel.

ANAESTHESIA"*
HAS COME A
LONG WAY... J
...SO HAS
REVERSAL
In recent years, many advances have been made in the
field of anaesthesia, including reversal of residual
neuromuscular blockade.
A. H. Robins has been a major contributor to this area
with Robinul.
As an anticholinergic agent Robinul provides significant
advantages over atropine: less initial tachycardia',
better protection against the peripheral muscarinic
effects of neostigmine 1 , and a better quality of recovery 2 .
At reversal, when administered simultaneously with
neostigmine, Robinul is associated with greater
cardiostability than separate injections 3 .
ROBINUL- NEOSTIGMINE injection contains standard
doses of Robinul and neostigmine in a 1ml ampoule,
provides dependable and convenient reversal of
residual neuromuscular blockade, and contributes
further towards improvements in anaesthesia.
I
GLYCOPYRROLATE
NEOSTIGMINE
NKOSTK.MINK MKTHYLSl LPHATK
Each lml contains Gtycopyrroltte USP 500 micrograms (OSmg) Neostigmine Methyfsulphate BP 2500 micrograms I2.5mg! Mication: Reversa
3t residual non-d«potarittng(comp«1itive) neuromuscular block Oau$»m4AJmmittTWt\on: Intravenous injection Adults and Older Patients 1 2ml 12500 microgfams neostigmine methylsulphaWSOO
rncrogrtfttf gtycopyrroiale to 5000 nucrograms neosugmme iMthylsulphate/1000 micrograms glycapyrrolaiel over a penod of 10-30 seconds Alternatively 0 02rnl/kg 150 microgram
- * • • - - - rrogrems gtycopyrrolate per kg body weight) over a psnod of 10 30 seconds Children 002ml/kg (50 micrograms neostigmine methylsulphate/10 micro
pam gfycopyrrobM ptr kg tMdy wwgfati owtr a period of 10-30 seconds These doses may be repealed if adequate reversal is not achieved Total doses m excess of 2ml are nc
recouwModed. CMtot-MfeaiMr HytmteuithniY to ingredients. Mechanical obstruction of gastrointestinal or urinary tracts Concomitant administration of suKamethomum Sid* ffftcts
Meostigmine induced (muscarinic) side effects - bradycardia, increased oropharyngeat secretions, cardiac dysrhythmias. bronchospasm. increased gasuointesuna< activiiy etc
Glycopyrrolate induced side effects dry mouth, difficult-/ m micturition, cardiac dysrhythmias. disturbances of visual accommodation, inhibition of sweating Prtcjti—t: Use with caution n
aatients with bronchospasm. severe bradycardia. fever, glaucoma, coronary artery disease, congestive heart failure, cardiac dysrhyitimias. hypertension, thyrotowcosis, epilepsy or Paritm
wmsm Use with caution m patients wtth mtestmaf anastomoses. Safety m pregnancyJlactatton has not been established B**tc NHS price CIO 37110 * lml ampoules! Ufal Cm»§»Pf P0^
Padtaft Q»aaMt*s Packs of 10 ampoules fwrtk$t WansatiMi Robtnol Neostigmine Infection can be used when atropine has been used as a pre-operatrve arm-cholmergic Prefac
01OOVOO99 Pi—'m Alfcoriirtoii Wimfcii 86^77/1 fMtnaces 1 Mirakhur RK et al Anaesth Analg 19 81. 60. 557-562 2 Sheref SE Br J Anaesth 1985. 57 IBS 191 3 Mostafa SM
itocevic M Anaesthesia 1984; 39 1207 1213 full Data Sheet available on request from A H.Robins Company Ltd.Sussex Manor Business Park. Gatwick Road, Crawley, West Sussex RH10 ?NH

GUIDE TO CONTRIBUTORS
The purpose of the British Journal of Anaesthesia
is the publication of original work in all branches
of anaesthesia, including the application of basic
sciences. One issue each year deals mainly with
material of postgraduate educational value.
PAPERS
Papers submitted must not have been published
in whole or in part in any other journal, and are
subject to editorial revision. It is a condition of
acceptance for publication that copyright becomes
vested in the journal and permission to republish
must be obtained from the Editor.
Papers based on clinical investigation should
conform to ethical standards as set out in the
Declaration of Helsinki. In the case of animal
studies it is the responsibility of the author to
satisfy the Board that no unnecessary suffering
has been inflicted.
LEGAL CONSIDERATIONS
Authors should avoid the use of names, initials
and hospital numbers which might lead to
recognition of a patient. A patient must not be
recognizable in photographs unless written consent
of the subject has been obtained. A table or
illustration that has been published elsewhere
should be accompanied by a statement that
permission for reproduction has been obtained
from the author and publishers.
PREPARATION OF MANUSCRIPT
Three copies of each manuscript should be
submitted and should indicate the title of the
paper, the name(s), qualifications and full address(es)
of the author(s), and be in letter quality
heavy type (not dot matrix), double-spaced on one
side only of the paper, with a wide margin.
Contributors should retain a copy in order to
check proofs and in case of loss.
Manuscripts should be accompanied by a
formal letter of request for publication which
should be signed by all of the authors.
Papers in recent issues of the British Journal of
vni
Anaesthesia should be consulted for general and
detailed presentation. They are most often subdivided
into:
Title page
Summary
Introduction (not headed)
Methods
Results
Discussion
Acknowledgements
List of references
Tables
Illustrations
Title page
There should be a separate title page, including
the name(s), degrees and address(es) of author(s).
It should be made clear which address relates to
which author. Authors' present addresses differing
from those at which the work was carried out,
or special instructions concerning the address for
correspondence, should be given as a footnote on
the title page and referenced at the appropriate
place in the author list by superscript symbols. If
the address to which proofs should be sent is not
that of the first-mentioned author, clear instructions
should be given in a covering note and
not on the title page. The title page should be
paginated as page 1 of the paper.
A short running title containing not more than
50 characters and spaces, and three to five key
words or phrases (for indexing) should be included.
Summary
The summary will be printed at the beginning
of the paper. It should be on a separate sheet, in
the form of a single paragraph which gives a
succinct account of the problem, the methods,
results and conclusions, and normally should be
of 50-150 words. It may be used as it stands by
abstracting journals.
Introduction
The introduction should give a concise account
of the background of the problem and the object

A 20661 E
Anaesthesist
Organ der
Mit Sonderteil OsterreichischenGesellschaftfurAnaesthesiologie, Reanimation und Intensivtherapie
Tt • 1 A -jL • DeutschenGesellschaftfurAnaesthesiologieundlntensivmedizin
M\£gjOnM—AjUieStneSie Schweizerischen Gesellschaft fur Anaesthesiologie und Reanimation
(erscheint zweimonatlich) (Societe Suisse d'Anesthesiologie et de Reanimation)
J. Jage
L. Brandt, F. Mertzlufft, W. Dick
F. Konrad, A. Deller, J. Diatzko,
J.E.Schmitz,J.Kilian
H. Suttmann, G. Juhl, B. Baur,
W. Morgenstern, A. Doenicke
E. Pfenninger, K.H. Lindner,
F.W.Ahnefeld
Th.A. Crazier, M. Sydow. J. Muller,
M. Langenbeck, J. Radke,
D. Kettler
H. Mang, J. Weindler, Ch.L. Zapf
H. Lammer, G. Mitterschiffthaler,
F. Fischer
K. Falk, H. GroB, K. Zinganell
G. Mitterschiffthaler, J.M. Hackl,
R. Neumann
Ch. Putensen, M. Baum, W. Koller,
G.Putz
0. Mayrhofer
38. Band Heft 4 April 1989
Qbersichten
Methadon - Pharmakokinetik und Pharmakodynamik eines Opiates
[Methadone: pharmacokinetic and pharmacodynamic features of an opiate] 159
Originalien
Verhalten des arteriellen und gemischtvenosen Blutgasstatus in der Initialphase der
Intubationsapnoe
[Arterial and mixed-venous blood gases during early intubation apnea] 167
paO2-Abfa!l nach intratrachealer Applikation von Lokalanaesthetika und 0,9%iger Natriumchloridlosung
[Flexible bronchoscopy of ventilator patients in local anesthesia. Decline in paO2 due to local
anesthesiaand NaCIO.9%] 174
Visuelle EEG-Analyse zurSteuerung intravenoser Narkosen mit Propofol
[Visual analysis of EEG for regulation of intravenous anesthesia with propofol] 180
Die Infusion von THAM (Trishydroxymethylaminomethan) alsTherapie zur Senkung des erhohten
intrakraniellen Druckes beim akuten Schadel-Hirn-Trauma
[Use of THAM (tris-hydroxymethylaminomethan) for rapid control of high intracranial pressure in
severe head injury] 189
Hamodynamische Effekte des Benzodiazepin-Antagonisten Flumazenil nach Laparotomien unter
einertotalenintravenosenAnaesthesiemitMidazolam
[Hemodynamic effects of the benzodiazepine antagonist flumazenil after laparotomies in total
intravenous anesthesia] 193
Intensivmedizin
Postoperative Atemtherapie mit Incentive Spirometry
[Incentive spirometry in postoperative respiratory care] 200
Fehlerund Gefahren
Zungengrundstruma, etn unerwartetes und seltenes Intubationshindernis
[Lingual thyroid, an unexpected and rare obstacle to intubation] 206
Fallberichte
Erschwerte Intubation und Narkose bei Morbus Pfaundler Hurler
[Difficulties encountered in intubation and anesthesia of a patient with Pfaundler-Hurfer disease] 208
Malignes Neurolept Syndrom und maligne Hyperthermie
[Neuroleptic malignant syndrome, a risk factor in malignant hyperthermia] 210
Technische Neuerungen
PEEP-Welle: Ein automatisiertes Verfahren zur bettseitigen Bestimmung der Volumen/
Druck-Beziehung der Lunge beatmeter Patienten
[An automated technique for determination of the volume/pressure ratio in the lungs of
mechanically ventilated patients at the bedside] 214
Laudatio
Professor Herbert Benzer zum 60. Geburtstag
Buchbesprechungen
Fachnachrichten
KongreBkalender
Indexed in Current Contents
Zum Deutschen AnaesthesiekongreB in Bremen
Annual subscription price DM 380.20 (including carriage charges)
Springer-Verlag
101 AnaesthestSt ISSN 0003-2417 ANATAE (1989) 38(4) 159-224
Gedrutid auf sdurefretem Paper
220
213,222
222
223

of the investigation. Previous work should be
quoted only if it has a direct bearing on the
present problem.
Methods
Methods must be described in sufficient detail
to allow the investigation to be interpreted and
repeated by the reader. Any modification of
previously published methods should be described
and the reference given. If the methods
are commonly used, only a reference to the
original source is required.
Drugs
When a drug is first mentioned it should be
given the generic or official name, followed in
parentheses by the chemical formula only if the
structure is not well known, and by the capitalized
proprietary name.
Results
Description of results, while concise, should
permit repetition of the investigation by others.
Data should not be repeated unnecessarily in text,
tables and figures, and unwarranted numbers of
digits should be avoided. Significance should be
given as values of probability. The desired
positions of tables and figures may be indicated by
written instructions enclosed within lines and
brackets, for example:
(TABLE III near here)
Discussion
The discussion should not merely recapitulate
the results, but should present their interpretation
against the background of existing knowledge. It
should include a statement of any assumptions on
which conclusions are based.
Acknowledgements
Acknowledgements will be printed in small
type. They should be brief, and should include
reference to sources of support and sources of
drugs not freely available commercially.
References
There should be a table of references at the
conclusion of the paper, commencing on a new
sheet.
References must be numbered consecutively in
the order in which they are first mentioned in the
BRITISH JOURNAL OF ANAESTHESIA
text, with the exception of review articles, when
references should be arranged alphabetically.
References in text, tables and legends should be
identified by arabic numbers appearing in the text
in square brackets.
Use the style of references adopted by the U.S.
National Library of Medicine and used in Index
Medicus. The titles of journals must be given in
full.
The names and initials of all authors should be
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Text references to "unpublished observations "
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included in the list, the phrase "in press"
replacing volume and page number. Information
from manuscripts submitted but not yet accepted
should be cited in the text as unpublished
observations.
Examples of correct forms of references:
Journals (list all authors) ;
Brown B R jr, Gandolphi A J. Adverse effeas of volatile
anaesthetics. British Journal of Anaesthesia 1987; 59: 14-23.
Chapter in a Book:
Hull C J. Opioid infusions for the management of postoperative
pain. In: Smith G, Covino B G, eds. Acute Pain.
London: Butterworths, 1985: 155-179.
Monographs:
Moore, D C. Regional Block, 4th edn. Springfield, Illinois:
Charles C Thomas, 1979.
Restrict references to those that have direct
bearing on the work described and cite only
references to books and articles published in
Index Medicus journals.
It is essential that authors verify the content
and detail of references which they list against the
original articles, as this responsibility cannot be
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Tables
All tables should be on separate sheets and be
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numbered consecutively with roman numerals.
Units in which results are expressed should be
given in brackets at the top of each column, and
not repeated on each line of the table. Ditto signs
are not used. Footnotes are not used.

There is a simple solution to
choosing a relaxant for all
operative
procedures
NORCURON
vecuronium bromide
Six years experience with Norcuron and many anaesthetists are only
beginning to appreciate the significance of this compound in terms of
flexibility in use, predictability of action, wide therapeutic safety margin
and minimal side effects.
mromtATtom i p*»e **> *> Da* sheet tor tun
Ono wcurpnium bromKM irt • butteredfreeze dnedtom,wfji* 5nUampouleo«aaonlor(hei1eaofiC*i«foe'do«a« mum Qo%a 'anqnghom 150-250rracrognra/fcflrwy beaQffMrialwill in9
'rfaJJQft wai tte y>c^aawQnt hy tn u>e pt Worcufpff. In OTIW mm a*
Earn* eauboo i»wuKf ta t«»«i*«). and ««v •*"•" d
o t* tw eonoo«aw UN of «na«t
tt tw Mai do** ana •oww p«a«* way *«« i«qv« • rugtwi deaa
ahewid * powtoW fta aontOM Dafaw aduwiitaaoii ot Wororot NcMciiNwicar0ag
Tr«tponaM)aoM*ava*SBlolVwnaufemu«cularblcKt(ad«c«u»«dbrNc»Cwron«
: ProductLicanc*No 3524/0013
^^_^_ Further information is available upon request.
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te NHS Coalt. CfiS M pff te» of 70 • lOmg M
Organon Teknika Ltd Science Park. Milton Road, Cambridge CB4 4FL
NORCURON
See for yourself

Xll BRITISH JOURNAL OF ANAESTHESIA
Illustrations
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Magnifications, especially in photomicrographs,
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The name of the author and title of the paper
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and expensive necessity of their revision.
General information
Instructions to the printer. Words to be printed
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A PART I (capitals)
B RESULTS (small capitals)
C Blood-Gas Analysis (I.e. roman)
D The Action of Drugs (italics, centre)
E Lung function studies (italics, full out)
F Volume. Large volumes... (italics, indent)
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SHORT, RAPID COMMUNICATIONS
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REPRINTS
Twenty-five reprints of articles will be dispatched
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form attached to the proofs. The order form
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ANNUAL MEETING
CANADIAN ANAESTHETISTS' SOCIETY
j Joint Meeting with the
I Association of Anaesthetists
of Great Britain and Ireland.
OTTAWA, June 9 to June 13, 1989.
Penlon
SEE YOU ON OUR STAND

XIV BRITISH JOURNAL OF ANAESTHESIA
THE NORTH BRITISH PAIN ASSOCIATION
1989 ST ANDREWS PAIN SYMPOSIUM
NEUROSURGERY FOR CHRONIC PAIN-
CURRENT TECHNIQUES AND FUTURE OPTIONS
University of St Andrews June 14-16, 1989
Speakers: Professor M. Bond (Glasgow)
Professor E. Hitchcock (Birmingham)
Mr I. Jacobson (Dundee)
Dr H. J. McQuay (Oxford)
Mr J. B. Miles (Liverpool)
Dr B. Nashold (U.S.A.)
Dr B. Sjolund (Sweden)
Professor R. Tasker (Canada)
Mr T. R. K. Varma (Dundee)
Professor P. J. Wall (London)
Further details from: Dr W. A. Macrae,
Consultant Anaesthetist, Pain Clinic,
Royal Infirmary,
Dundee, DD1 9ND.

Until now, all CO2
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D-fend has been
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stringent infection
control is required.
In the U.K. please contart
S& W Vickers, tel. 01309 0433,
telex 896328 or fax 01309 0919
DdTEX
For people who care
Datex/Instrumentarium Corp., P.O. Box 357, SF-00101 Helsinki Finland, Tel. + 3580394 n, Tx 126252 datex sf

xvi BRITISH JOURNAL OF ANAESTHESIA
BIOLOGICAL ENGINEERING SOCIETY
DEVELOPMENTS IN INTENSIVE CARE MONITORING
London June 15, 1989
To be held at the Morris Lecture Theatre, St Bartholomew's Hospital, London.
Secretariat: Mr D.T. Delpy,
Department of Medical Physics and Bio-Engineering,
University College London,
1st Floor, Shropshire House,
11-20 Capper Street,
London WC1E 6JA.

he 9000 Syringe Pump from Ohmeda.
Designed to complement today's
anaesthesia workstation.
Infusion anaesthesia. It's the ideal
addition BJOTJ fj
sa. Take your youi best shot.
sia delivery capability.
To take advantage of all that IV anaesthesia
techniques offer, an infusion pump adapted
from critical care isn't enough.
You need the 9000 Syringe Pump. The one
for anaesthesia.
The 9000 is designed and built by Ohmeda, the
leader in anaesthesia systems, to meet your
needs for more flexible, more controllable IV
delivery at your workstation.
The 9000 was also developed in cooperation
with major pharmaceutical manufacturers to
complement the full range of shorter-acting,
more controllable anaesthesia drugs—hypnotics,
muscle relaxants, analgesics, hypotensives
and inotropes.
A smoother course in each case.
With the 9000 Syringe Pump, the full dose can
be delivered, including loading and maintenance
doses, and intraoperative boll No need
for special set ups, added costs.
During loading, the 9000 administers the
drug dose smoothly and evenly which can
lessen the haemodynamic depressant effects of
some drugs.
During maintenance, 0.1 mL/hr to 200 mL/hr
output offers a flexible infusion range to manage
the wide choice of regimes encountered in
anaesthesia. A choice of standard syringes
helps match size to dose to cut drug waste.
Anytime, selectable bolus delivery helps you
quickly react to changing anaesthesia requirements
such as increasing anaesthetic depth or
muscle relaxation. No need for a second syringe.
No need to remove a syringe from the pump.
The Ohmeda 9000.
Not merely an infusion
pump-today's
, advanced infusion
In the continuous infusion laesthesia system
mode, the display indicates for the operating
syringe size, volume infused theatre.
Contact your Ohmeda
representative or call
0279 442001 to make
a 9000 Syringe Pump
part of your system.
If • bolus is selected, the
display indicates the rate
and the volume delivered in
that bolus. When complete,
the readout reverts to the
continuous infusion display.
Ohmeda
Ohmeda
Elizabeth Way
Ha rlow
Essex CM 19 SAB
0279 29692
UK Sales 0279 442001
Telex 81497
BOC Haaitb Care » 1988 The BOC Group

ANAESTHESIA and
INTENSIVE CARE
Journal of the Australian Society of Anaesthetists
Editor: J. G. Roberts; Associate Editor: Jeanette Thirlwell; Assistant Editor: A. W. Duncan;
Editorial Committee: A. B. Baker, T. C. K. Brown, N. M. Cass, J. N. Ditton, D. B. Gibb, A. H.
llsley, J. H. Overton, T. E. Oh, J. D. Paull, P. F. Reilly, W. R. Thompson.
Anaesthesia and Intensive Care is a quarterly journal presenting articles of scientific and clinical interest in
the specialities of Anaesthesia, Intensive Care Medicine and related disciplines. Frequent symposium
issues, comprehensive review articles, dissertations on the history of anaesthesia and education and
training in the specialities are very informative, while our correspondence section gives contributors an
opportunity to express points of view. Future meetings, both Australian and International, are listed.
The Journal is international in content and readership and offers very reasonable subscription rates with
American Express and Visa facilities.
SUBSCRIPTION FORM
commencing with the current volume.
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Annual Subscription Rates (1989 rates):
• Within Australia — surface mail : Aust $48.00 back issues: $12.00
— air mail : Aust $60.00 back issues: $15.00
• Outside Australia—surface mail : Aust $68.00 back issues: $17.00
— air mail : Rates available on request

teamwork
You strive for It In the Operating Theatre.
We strive for It In our products.
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The Narkomed 2B and the Vltalert" 1000—Truly
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A unique combination-
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1
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British Journal of Obstetrics
and Gynaecology
Published on behalf of the Royal College of Obstetricians and Gynaecologists
Editor
D.B. Paintin London
The British Journal of Obstetrics and Gynaecology
has been published since 1902 when it began as the
Journal of Obstetrics and Gynaecology of the
British Empire. Regarded as the premier organ of
the specialty in Britain, it publishes papers from
throughout Europe and from an increasingly wide
circle of international contributors. The Journal is
aimed at both the practising clinician and the
clinical scientist and the core content consists of
reports of original work in obstetrics and
gynaecology and related subjects such as human
reproductive physiology and contraception.
Subscription Information
British Journal of Obstetrics and Gynaecology is published monthly. Subscription rates for
1989 are £62.00 (UK), £74.50 (overseas), $129.00 (USA & Canada) post free. Members and
Fellows of the Royal College of Obstetricians and Gynaecologists are entitled to subscribe at
the special price of £52.00/$88.50.
Order Form
Please tick the appropriate box and return to BlackweU Scientific Publications Ltd, P.O. Box 88, Oxford. England.
fj] I would like to subscribe to British Journal of Obstetrics and Gynaecology
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Name
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BlackweU Scientific Publications
P.O. Box88, Oxford, England

VEOLAR
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Great Britain: Hamilton (G.B.) Limited, Parkgate House, Broomhill Road. London SW184JQ, Telephone 01-871 5124, Telex 917003 LPCG
Germany: Hamilton Deutschland GmbH, Daimlerweg 5A. Postfach 110565, D 6100 Darmstadt, Tel. (06151) 8 50 85. Telex 419684. Fax (06151) 8917 33
For all other countries contact Switzerland or our local dealer
Specifications are subject to alteration without prior notice. Leve*

day in day out
nans
ABBOTT
Easy control, rapid recovery
Prescribing Information: isoRufane Indications: tor inhalation anaesthesia Dose ould begin al 0.5% and be adjusted appropnalely. AUtaBUbomorinUd
••• • • - -- - i ">•"•- ^-- *= ^'-'- c— .-'...•-. >- .,-, u o_^ ,*5% ic^.ti.Lf^-.^ i- s rrn^i^A -,i (-;.vo*n.>nitrr>us0XKJe is Oueenboroogh Kent ME115&
-. ^ion Shi^lrnc .nng recovers
Basic NHS Price: L:" : serlOO". ":L*.-~t-?' '>':;'"j'-s