Sudden Severe Bradycardia Induced by Propofol-Succinylcholine in a Healthy Adult Patient: A Case Report.

This case report describes a 27-year-old healthy female patient undergoing bilateral salpingectomy for sterilization who experienced sudden bradycardia following induction with propofol (2, 6 diisopropylphenol) and succinylcholine. Despite lacking prior cardiac issues, the patient's heart rate dropped precipitously, necessitating intervention with glycopyrrolate. This case report highlights the importance of premedication with anticholinergics to prevent bradycardia in similar scenarios, underscoring the need for vigilance and preparedness to manage adverse cardiac events during anesthesia induction, even in patients without evident risk factors.

An insight into living with diabetes.

Laura Lennard, Children's Diabetes Nurse, West Hertfordshire Hospitals NHS Trust, reflects on the challenges of encouraging behaviour change and the importance of understanding patients' real-life experiences.

Finding the jewels in adversity: reflections on a secondment.

Laura Lennard, on secondment as Children's Diabetes Nurse, Hemel Hempstead Hospital, West Hertfordshire Hospitals NHS Trust, shares what she has learned from the sometimes painful experience of stepping out of her comfort zone and learning the ropes in a new role.

An assessment of methods used in the investigation of iron status: findings in a population of young British South Asian children.

Aims: To assess the value of laboratory tests available for the investigation of iron status in a population of young British South Asian children.

Methods: Blood count, red cell distribution width (RDW), percentage hypochromic red cells (%hypo), concentrations of C-reactive protein (CRP), zinc protoporphyrin (ZPP), ferritin, soluble transferrin receptor, plasma iron measurements and incidence of deletional forms of α-thalassaemia were determined.

Results: Haemoglobin, mean cell haemoglobin (MCH), ferritin and CRP values classified iron status in 151/205 (73.