Annales françaises d'anesthèsie et de rèanimation
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To describe the new procedures applied for interventional radiology leading to specific anaesthetic care and organization. ⋯ As advances in interventional radiology are obvious, general organisation as well as anaesthetic procedures should be adapted to these specific techniques.
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Ann Fr Anesth Reanim · Jun 2006
Randomized Controlled Trial Comparative Study[Maternal postures and epidural analgesia during labour].
The evolution of birth is of interest for obstetricians and midwives. Postures with asymmetric stretching and balance, kneeling, or sitting have been claimed to be able to help foetal head rotation. Although walking during labour have no influence on the outcome of labour, hip-flexed postures enlarging the pelvic diameter are yet evaluated to improve the obstetric course of labour. ⋯ There were no differences between groups for the left and right total spread and upper level of epidural blockade, for the time to maximal block and pain relief. There was no motor block and no maternal or foetal side effects. We conclude that, for the three hip-flexed postures tested, position does not influence local anesthetic spread or symmetry of analgesia after induction of obstetric epidural anaesthesia.
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Ann Fr Anesth Reanim · Jun 2006
Review[Meticillin-resistant Staphylococcus aureus: incidence, risk factors and interest of systematic screening for colonization in intensive-care unit].
To summarize recent international and national epidemiological data of methicillin-resistant Staphylococcus aureus (MRSA) colonization in ICU. ⋯ Systematic screening for colonization on ICU admission and during hospitalization is essential for many authors to control the spread of MRSA. Other policies such as implementation of isolation precaution and antibiotic use also contribute to decrease the MRSA incidence rate observed for several years in French ICU.
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Ann Fr Anesth Reanim · Jun 2006
Review[Patient-controlled epidural analgesia for labour: in practice].
Update on patient controlled epidural analgesia for labour. ⋯ The use of PCEA improves the quality of analgesic management offered to the parturients who are more and more willing to have a "more natural" childbirth. The PCEA gives them more autonomy and, in fine, enables them to better enjoy this unique event. The main barrier to a more widespread diffusion of PCEA in many institutions remains the financial issue, although a well-selected device and low cost disposables allow a reduction of indirect costs by decreasing care giver workload.
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Ann Fr Anesth Reanim · Jun 2006
Case Reports[Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure].
The ex utero intrapartum treatment (EXIT) procedure is a surgical procedure maintaining utero-placental circulation during caesarean section. Anaesthetic implications are described: foetal transplacental anaesthesia to avoid first breathing and to permit surgical procedure on obstructed foetal airway, deep maternal haemodynamically stable anaesthesia to relax uterine smooth muscle during a long caesarean procedure but avoiding post-partum haemorrhage. Volatile anaesthesia with sevoflurane seems to be adequate for these aims. Two cases are described.