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Resupply Scandal

resupply signal

  This may appear to be yet another disagreeable whinge but if a favourable outcome is to be had from surgical interventions the anaesthetist has to have the equipment and medication to do the job and similarly the surgeon has to have the equipment that he needs.

We requested a diathermy apparatus. Basically this is a large transformer which generates a high frequency spark and is used by the surgeon to stop bleeding. It cauterises the wound and speeds up the procedure.

In the absence of a blood bank it was vital that as little blood as possible was lost and it is obvious that speed is critical.

The absence of one of these aids reduces safety and efficiency. The absence of both compounds the problem.

On the anaesthetic side the lack of nitrous oxide, limited supply of oxygen and neostigmine meant that anaesthetic techniques had to be used from which the patients recovered more slowly. The absence of a mechanical ventilator meant that when a patient had to have a muscle relaxing anaesthetic the anesthetist had to ventilate him for the duration of the operation by squeezing a black rubber bag or pumping a bellows up and down.

Diathermy, blood bank,anaesthetic kit could have been despatched from Ludgershall and been on site in Salalah in 72 hours.

We were not whingeing without a fully justifiable reason