Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Dec 2000
Case Reports[Unusual course of a pulmonary artery catheter through a persistent superior vena cava] .
We report the unusual course of a pulmonary artery catheter through a persistent left-sided superior vena cava. After left subclavian vein cannulation and downward left-sided paramediastinum course, the Swan-Ganz catheter enters the right pulmonary artery. Haemodynamic monitoring was consistent with the diagnosis of septic shock developed by this 56-year-old woman, after cephalic duodenopancreatectomy. ⋯ It drains into the right atrium through the coronary sinus in 92% of cases and is associated with an absent right superior vena cava in 20% of cases. The left-sided superior vena cava persists when the caudal part of the left anterior cardinal vein does not degenerate. A persistent left superior vena cava may be medically relevant during implantation of pacemaker leads or radiofrequency ablation, during cardiac surgery for placement of a retrograde coronary sinus cardioplegia catheter and during transjugular intrahepatic portosystemic shunt placement.
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Ann Fr Anesth Reanim · Dec 2000
Comparative Study Clinical Trial[Sensitivity to atracurium in the lateral abdominal muscles] .
To study the effect of atracurium on the electromyographic activity of the lateral abdominal muscles and adductor pollicis in anaesthetized subjects. ⋯ Lateral abdominal muscles blockade have faster onset and recovery than adductor pollicis.
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Ann Fr Anesth Reanim · Dec 2000
Clinical Trial[Complications of difficult tracheal intubations in a critical care unit] .
This study was performed in order to evaluate the frequency of DI, the predictive factors of DI and to list the related complications. ⋯ This study confirms the high incidence of DI and associated complications in critical care. We suggest the development of airway management protocols in critical care unit in order to reduce the rate of DI.
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Ann Fr Anesth Reanim · Dec 2000
[Maternal and perinatal morbidity and mortality associated with hellp syndrome] .
Our purpose was to describe the effects of serious obstetric complications on maternal and perinatal outcome in pregnancies complicated by Hellp syndrome. ⋯ The high maternal and perinatal mortality and morbidity reported with the presence of Hellp syndrome requires maternal-fetal follow-up in a tertiary centre where intensive maternal and neonatal care are available.