Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Aug 2001
Case Reports Clinical Trial[Intraoperative memory. A study of its incidence in general anesthesia in 326 patients].
Measuring the incidence of intraoperative recall in our hospital. ⋯ This result conforms to other studies. This phenomenon is a quality indicator, but probably under estimated. Although retrospective, this evaluation is quick and easy. This research in post-operative period should be systematic in order to find the reason and to propose an early course of action for these patients. An analysis of the anaesthetic protocol is necessary when the frequency of intraoperative recall is too high.
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Ann Fr Anesth Reanim · Aug 2001
Clinical Trial[Evaluation of antibacterial filters for peridural obstetrical anesthesia].
To assess the antibacterial efficiency of filters used in obstetrics when epidural top-ups are performed. ⋯ Antibacterial filters provide a good protection against a potentially contaminated procedure during epidural top-ups.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Goiter and pregnancy: a cause of predictable difficult intubation].
During pregnancy the thyroid undergoes several changes including altered function and gland enlargement. We describe the management of a 36-week pregnant woman presenting with upper-way obstruction secondary to tracheal compression by a large multinodular goitre. The patient was successfully managed with an awake fibreoptic intubation performed orally followed by a caesarean section and thyroidectomy as a combines procedure.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Ilio-inguinal Ilio-hypogastic nerve block with a single puncture: an alterantive for anesthesia in emergency inguinal surgery].
The authors describe the anaesthetic procedure for a strangulated hernia repair needing resection and anastomosis of the small bowel in an adult patient. This procedure was performed with an ilio-inguinal/ilio-hypogastric nerve block according to a paediatrical simplified technique with a single puncture. ⋯ This block associated with a very light sedation was sufficient for all the surgical procedure, and postoperative analgesia was efficient over 3 hours. This simplified nerve block, better than the conventional approach for the clinical practice, represents a recommended alternative for hernia repair in emergency for high risk patients who could have a general anaesthesia or a central block.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Anesthetic malignant hyperthermia and multiple organ dysfunction syndrome].
The typical explosive form of malignant hyperthermia caused by following isoflurane anaesthesia is a well-known phenomenon. Nevertheless, since dantrolene is used, its evolution toward a multiple organ failure has been rarely described. We report a case of typical explosive malignant hyperthermia caused by an isoflurane anaesthesia complicated by a cardiovascular failure, a disseminated intravascular coagulation, an acute liver failure and an acute renal failure. Afterwards, muscle weakness of the right calf was the only aftermath.