Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2000
Comparative Study Clinical Trial[Effect of bronchial drainage on the improvement in gas exchange observed in ventral decubitus in ARDS].
A bronchial secretion draining effect is frequently suggested as a mechanism for oxygenation improvement during prone positioning (PP) in patients with acute respiratory distress syndrome (ARDS). Nevertheless, it has never really been evaluated. The aim of this study was to search for an interrelationship between the volume of the bronchial secretion and the improvement of the PaO2/FIO2 ratio during prone positioning, with NO inhalation or not. ⋯ In patients with little or moderate secretions, the improvement observed in oxygenation, with or without NO, does not depend on their volume.
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Ann Fr Anesth Reanim · Mar 2000
Case Reports[Diagnosis of a persistent left superior vena cava in the operating room during a central venous catheterization].
A 2-year-old boy was admitted for surgical excision of a hepatoblastome. A central venous catheter was inserted by a subclavian approach, without difficulty. ⋯ An postoperative chest X-ray confirmed the diagnosis. The catheter was maintained for five days without any complication.
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Ann Fr Anesth Reanim · Mar 2000
Case Reports[Multi-recurrent cardiac arrest: when to discontinue cardiopulmonary resuscitation?].
A 52-year-old man developed an out-of-hospital cardiac arrest complicating a myocardial infarction. After prolonged cardiopulmonary resuscitation, he was admitted to an intensive care unit, where 25 episodes of cardiac arrests occurred within a few hours. ⋯ This case raises the question of the duration a cardiopulmonary resuscitation in case of out-of-hospital and in-hospital cardiac arrest. The question is to determine how long resuscitation efforts must be prolonged after recurrent cardiac arrests.
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Ann Fr Anesth Reanim · Mar 2000
Comparative Study[Effect of a lung contusion on the prognosis of severe head injury in the child].
To assess the effects of a pulmonary contusion (PC) on the outcome of a severe head trauma (SHT) in children less than 15-year-old. ⋯ The association of a PC to a severe head trauma is responsible for a poorer outcome in children, probably because, at least in part, a higher incidence of hypoxaemia.