Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · May 2006
Case Reports[Continuous spinal anesthesia for femoral fracture in two patients with severe aortic stenosis].
Neuraxial blockade is usually not recommended in patients with aortic stenosis. However, neuroaxial blockade techniques such as continuous spinal or epidural anaesthesia can be tailored to minimize potentially dramatic consequences of decrease in systemic vascular resistance, often encountered after standard single shot spinal anaesthesia. ⋯ Small doses of isobaric 0.25% bupivacaine titrated to limit total dose below 5 mg, injected through the intrathecal catheter allowed the control of haemodynamic parameters. No clinical complication occurred in these two patients.
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Ann Fr Anesth Reanim · May 2006
Case Reports[Resuscitation from accidental hypothermia of 22 degrees C with circulatory arrest: importance of prehospital management].
In winter, French Medicalised Ambulance Service rescued a 50-year-old patient after suicide attempts by jump from a bridge in the Seine. The body was discovered after more than 10 minutes of immersion. She was unconscious and in deep hypothermia with circulatory arrest. ⋯ Mechanical ventilation was needed for 15 days because of adult respiratory distress syndrome. Renal failure, pneumonia also occurred. She was successfully extubated on day 15 and was discharged from intensive care unit on day 21, suffering no neurological side effects.