Annales françaises d'anesthèsie et de rèanimation
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To analyse the various methods for carbon dioxide absorption in anaesthesia, the available absorbents and their modes of use. ⋯ Carbon dioxide absorption enables the use of low flow anaesthesia, and a decreased consumption of medical gases and halogenated anaesthetics, as well as reduced pollution. Chemical absorbents (soda-lime and barium hydroxide lime (Baralyme) may produce toxic compounds: carbon monoxide with all halogenated anaesthetics and compound A with sevoflurane. Simple measures against desiccation of the lime prevent carbon monoxide production. The toxicity of compound A, shown in the rat, has not been proven in clinical anaesthesia. Recent improvements in manufacture processes have decreased the powdering of lime. Moreover, filters inserted between the anaesthesia circuit and the patient abolish the risk for powder inhalation.
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To assess the benefits and drawbacks of intraosseous infusion (IOI) for emergency therapy in children. ⋯ IOI is an easy technique for vascular access. It is indicated in emergency cases when, after a delay of five minutes, other techniques have failed.
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To assess the quality of the anaesthetic record for surgical and non surgical procedures and for elective and emergency surgery. ⋯ These results suggest that the quality of the anaesthetic records should be improved, mainly for the preoperative period and for non-surgical procedures.