Annales françaises d'anesthèsie et de rèanimation
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To clarify how pharmacokinetics explains the speed and quality of mask induction with sevoflurane alone or associated with adjuvants. To describe the various techniques to obtain adequate anaesthesia for laryngeal mask or tracheal tube insertion. To give the indications, contra-indications and complications of this technique. ⋯ Inhalation induction in adults remains little used in common clinical practice. Technical improvement by adding opioids and education of anesthetists should increase the diffusion of this alternative method to intravenous induction of anaesthesia.
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Ann Fr Anesth Reanim · Sep 2004
Multicenter Study[Anaesthesia and intensive care for cardiac surgery in France: results of the three days national survey realised in 2001 by the club of Anaesthesia, Intensive Care and Technics in Cardiac Surgery (ARTECC)].
Ageing of the surgical population and the evolution in anaesthetic techniques have led the Club d'anesthésie-réanimation et techniques en chirurgie cardiaque (ARTECC) to conduct a survey among French cardiac surgery centers. The aim was to profile patient population undergoing cardiac surgery and perioperative techniques employed. ⋯ The ARTECC study pointed out some reserve in practices and that the impact of new techniques seems limited. Regular use of studies of that kind will provide an effective tool to compare national practices.
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Ann Fr Anesth Reanim · Sep 2004
Case Reports[Fatal amniotic fluid embolism. Extraction by Caesarean section of a living child without neurological after-effects].
The authors report on the case of an amniotic fluid embolism, proven by post mortem, which was the result of an inaugural and irreversible cardiac arrest in a 37-year-old woman at 39 weeks of normal pregnancy. The Caesarean section was carried out as an extreme emergency in the labour room, while efforts were being made to resuscitate the mother, so as to deliver a living newborn without any neurological after-effects. The haemostatic consequences were showed up only on blood tests.
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To evaluate the use of mannitol in prehospital care in Paris area. ⋯ A significant percentage of physicians tacking part in the French prehospital care system, do not follow published guidelines on the use of mannitol. Actions improving implementation of those guidelines should be supported.