Annales françaises d'anesthèsie et de rèanimation
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No epidemiologic study or any other type of evaluation has been performed so far concerning substance abuse among french anaesthetists. We therefore reviewed the English literature to analyse relevant data on this topic. ⋯ 1% to 2% of anaesthetists are considered drug addicts in epidemiological studies. Whether the prévalence of drug addiction is higher in anaesthetists compared to other medical specialists remains controversial. Mortality in addict anaesthetists is more than 15% over 5 years. Rehabilitation programs succeed in 60% to 80% of the cases but residents in anaesthesia need to be redirected to another medical specialty.
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Ann Fr Anesth Reanim · Nov 2000
Randomized Controlled Trial Clinical Trial[Effectiveness of low mivacurium if its injection is postponed by a non-invasive pressure determination on the homolateral arm].
We assessed the neuromuscular characteristics of 0.2 mg.kg-1 of mivacurium while its injection was concomitant to a non invasive blood pressure measurement in the ipsilateral arm. ⋯ This study suggests that non invasive blood pressure measurement of the ipsilateral arm, concomitant to the injection of mivacurium decreases the potency of mivacurium. This finding is mostly explained by the early hydrolysis of mivacurium in the plasma of the excluded arm.
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Ann Fr Anesth Reanim · Nov 2000
Clinical Trial[Postoperative pain and surgical treatment of trapeziometacarpal osteoarthritis of the thumb after ambulatory surgery].
The course of pain and the incidence of the side effects from analgesics were evaluated for 15 days in 26 consecutive outpatients who underwent a surgical cure of trapeziometacarpal osteoarthritis of the thumb under regional block. ⋯ The surgical correction of trapeziometacarpal osteoarthritis of the thumb is frequently performed according to an ambulatory setting. The fact that 50% of patients reported severe pain during the early postoperative period emphasize the inadequacy of our postoperative pain management for this surgical procedure.
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We report the case of splenic subcapsular haematoma, that happens to a woman after three months. Breaking and fistulation of the splenic haematoma into the gastric cavity and its subsequent evacuation made it first identify as digestive haemorrhage.
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Ann Fr Anesth Reanim · Nov 2000
Case Reports[Calcification of thrombus associated with central venous catheter: unusual complication].
Thrombosis originating from the tip of central venous catheter is a well known complication. The calcification of such a thrombus is very rare. Until now, only two cases had been described with long-term indwelling central venous catheters used for total parenteral nutrition. ⋯ The presumptive mechanism of thrombus calcification is precipitation of calcium salts and its deposition on a pre-existent thrombus. In total parenteral nutrition the mechanism of calcification seems to be multifactorial. Thus, the precipitation of calcium phosphate is increased by the following factors: higher calcium and phosphate concentrations, the use of calcium chloride instead of calcium gluconate, lower pH solutions, slow infusion rate.