Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jul 2005
[Induction of anaesthesia with target-controlled inhalation of sevoflurane in adults with the ZEUS anaesthesia machine].
To evaluate if the new anaesthesia platform ZEUS (Dräger Medical) allows the induction of anaesthesia with target-controlled inhalation of sevoflurane. ⋯ This new anaesthesia system make available the induction of anaesthesia with sevoflurane without priming of the circuit.
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Ann Fr Anesth Reanim · Jul 2005
[Evaluation of continuous nerve block for postoperative pain management in orthopaedic surgery].
After orthopaedic surgery, continuous nerve block analgesia provides effective postoperative pain relief. The practical use of these techniques may present problems. The purpose of this study was to assess the development of continuous block procedure for postoperative pain based on quality standard management and the effectiveness of initial training as an adjunct for introduction of these techniques. ⋯ Pain management quality assurance program provided an improvement in efficacy of postoperative pain management in our protocol. Further, evaluation may be required to assess the complete benefits of this new protocol as regards postoperative pain.
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Ann Fr Anesth Reanim · Jul 2005
Case Reports[Which doses of anaesthetic agents in centenarian patients? Interest of BIS monitoring].
A 106-year-old female underwent emergency colectomy for peritonitis secondary to ischemic colitis. Following induction of anaesthesia with 18 mg etomidate (0,4 mg/kg), BIS monitoring allowed to perform surgery with an averaged desflurane end-tidal concentration and remifentanil infusion as low as 0.9% and 0.057 microg/kg/minute respectively. ⋯ No adrenergic agent was used. This observation underlined the interest of BIS when anaesthetic requirement are difficult to estimate rapidly.