Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Dec 2001
Case Reports[Successful endovascular embolization in the vertebral artery after failed surgery in a patient with severe hemorrhagic shock].
Injury of the vertebral artery following penetrating trauma is rare and treatment is usually a surgical double ligation. We report a case of a 19-year old man, suffering from potentially fatal haemorrhage related to a penetrating trauma of the left vertebral artery. After failure of surgery, bleeding has been successfully stopped by endovascular embolization. The patient did not suffer any ischaemic cerebral complication and was discharged from intensive care unit 24 hours later.
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Ann Fr Anesth Reanim · Dec 2001
Review[Malignant hyperthermia: new developments in diagnosis and clinical management].
To analyse the current knowledge concerning anaesthetic malignant hyperthermia. ⋯ Knowledge to possess, about the diagnosis and treatment of the acute hyperthermia crises and about "safe-anaesthesia" for malignant hyperthermia susceptible patients, are explained. The pathophysiology chapter give information about the calcium's transport and the defect existing in MH. Molecular genetics of MH find linkage to the region encoding the RyR1. The profile of hyperthermia episodes has changed over time due to the endtidal carbon dioxide-monitoring. Clinical aspects of MH are exposed. The treatment of the acute hyperthermia crises consist mainly to stop all triggering agents instantly and infuse dantrolene sodium. The gold standard for the diagnosis of malignant hyperthermia susceptibility relies on the in vitro contracture test (halothane and caffeine). Associated to genetic studies, it could lead to an non-invasive screening of the MH susceptibility. A protocol for "safe-anaesthesia" is proposed. Some syndromes with features similar to those of MH should be known (central core disease and exertionnal rhabdomyolysis).
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Ann Fr Anesth Reanim · Dec 2001
Clinical Trial[Is measurement of body temperature by infrared tympanic thermometry reproducible?].
To assess the reliability of body temperature estimated by infrared tympanic thermometry. ⋯ These values give an estimation of the technique's accuracy. In our point of view, such a reproducibility is adequate for daily clinical practice. The accuracy of infrared tympanic thermometry with the First Temp Genius seems reasonable for the clinical practice when the temperature is over 37 degrees C.