Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2002
Case Reports[Pneumomediastinum as a complication of recreational ecstasy use].
Ecstasy recreational use dramatically increased during the last decade in France. Multiples complications associated with ecstasy consumption have been reported. We describe an exceptional case of pneumomediastinum related to ecstasy recreational use. ⋯ Outcome was favorable with symptomatic treatment and the patient was discharged home eight days later. Pneumomediastinum is an exceptional complication after ecstasy recreational use. Physician should be aware of the risk of such event.
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Ann Fr Anesth Reanim · Jan 2002
Review[Strategies diagnosis of polytraumatized adult patients with coma].
To review the diagnostic strategy of management of multiple trauma patient during the first hours. ⋯ The first hours of management of multiple trauma patients are a particular challenge. The first dilemma is to drive the patient toward an adequate structure. In case of poor haemodynamic tolerance, the patient will be drive in the nearest hospital. When haemodynamic parameters are restored, multiple trauma patient has to be receive in a high level hospital by a trained medical team with an anesthesiologist, intensivist, neurosurgeon, general surgeon and radiologist. The initial assessment may have two priorities: quality and speed. The total body CT scan is actually the answer to these priorities.
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To estimate qualitatively and quantitatively the anaesthetic activity in Morocco to identify of the priorities and the norm to recommend. ⋯ Questioning about the Moroccan practice of anaesthesia is raised by this survey mostly because of drugs and monitoring use.
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Ann Fr Anesth Reanim · Jan 2002
[Factors associated with blood transfusion during anesthesia for scheduled hip or knee arthroplasty in France].
To determine over a whole country what are the factors associated with an intraoperative homologous blood transfusion and with the use of autologous techniques (preoperative autologous blood donation: PABD; acute normovolemic hemodilution: ANVH; intraoperative red cell salvage: IRCS). ⋯ These data obtained from a large national survey confirm previously published studies and meta-analyses and are in agreement with current recommendations. An unexpected relation between PABD and closed circuit anaesthesia has been found.
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Ann Fr Anesth Reanim · Jan 2002
Clinical Trial[Monitoring expired oxygen fraction in preoxygenation of patients with chronic obstructive pulmonary disease].
To compare the rate of preoxygenation before induction of anesthesia in patients with no lung disease and in patients with chronic obstructive pulmonary disease (COPD). ⋯ These results suggest that preoxygenation monitoring may be useful in patients with COPD, to ensure adequate preoxygenation is achieved.