Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2003
Case Reports[Non cardiac surgery in patient with coronary stenting: think sirolimus now!].
We describe a severe preoperative cardiogenic shock in a patient scheduled for a breast surgery. The cardiogenic shock was in relation with thrombosis of two sirolimus-eluting stents received 3 months ago. ⋯ The patient recovered well after a 1-day treatment including intraaortic balloon counter pulsation and dobutamine infusion. We discuss about the ideal timing to plan surgery and how to manage the shift of antiplatelet agents.
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Ann Fr Anesth Reanim · Oct 2003
[Risk factors for amoxicillin-clavulanate-resistant Escherichia coli in ICU patients].
To determine risk factors of infections with amoxicillin-clavulanate-resistant Escherichia coli in ICU patients. ⋯ Clinicians should avoid administering amoxicillin-clavulanate as empiric therapy for possible E. coli infection in patients that have recently been treated with amoxicillin.
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Ann Fr Anesth Reanim · Oct 2003
Case Reports[Postoperative pancreatitis after non abdominal surgery].
A 35-year-old man developed two episodes of postoperative pancreatitis. The first one occurred after knee surgery and the second one 6 years after surgery for excision of haemorrhoids. ⋯ Anaesthesia was maintained with sevoflurane administered through a laryngeal mask. The possible association between the drugs used during anaesthesia and the postoperative pancreatitis is discussed.
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Splenic injury during pregnancy after blunt abdominal trauma is rare. The physiological and anatomical changes during pregnancy modify the clinical, biological and radiological signs. ⋯ Splenectomy was realised 4 days after an initial decision of abstaining from surgery. In pregnancy, the frequency of recurrent bleeding, the possibility of concomitant uterine injuries and the risk of foetal loss should modify the surgeon's attitude to splenic rupture after abdominal blunt trauma.