Annales françaises d'anesthèsie et de rèanimation
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The aims of this review are to point out the determinants of oxygen saturation of the haemoglobin of mixed venous blood (SvO(2)), to specify the correlations existing between SvO(2) and central venous saturation in superior vena cava (ScvO(2)), to determine and finally to locate the current place of venous oximetry in clinical practice. ⋯ The management of patients in critical states with therapeutic goals integrating the monitoring of venous oximetry may reduce the morbidity and mortality of patients undergoing major surgery or hospitalised in the intensive care unit.
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Ann Fr Anesth Reanim · Jan 2008
Comparative Study Controlled Clinical Trial[Interest of entropy monitoring during low-grade cerebral aneurysm embolisation].
Evaluate the use of entropy monitoring on anaesthetic drugs consumption, haemodynamic stability, and recovery time in patients undergoing embolisation of cerebral artery aneurysm (asymptomatic or low Hunt and Hess grades). ⋯ No intraoperative incident. Propofol consumption was lower in G2 (7.49+/-2.28 mg/kg per hour versus 9.46+/-2.50mg/kg per hour; p<0.05). A tendency to reduction was observed for remifentanil consumption (6.65+/-2.04 microg/kg per hour versus 7.94+/-2.92 microg/kg per hour; p=0.056), and extubation delay (14.1+/-8.6 min versus 26.5+/-22.0 min; p=0.056), in G2. The entropy monitoring had no repercussion on haemodynamic stability, but the arterial pressure values were significantly higher in G2 (73.60+/-8.49 mmHg versus 67.10+/-5.58 mmHg). Entropy captor does not disrupt embolisation procedure. Coils liberation alter temporarily RE and SE values.
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Ann Fr Anesth Reanim · Jan 2008
Case Reports[Ventricular fibrillation following deodorant spray inhalation].
We report one case of out-of-hospital cardiac arrest with ventricular fibrillation following butane poisoning after inhalation of antiperspiration aerosol. An early management using semi-automatic defibrillator explained the success of the resuscitation. The mechanism of butane toxicity could be an increased sensitivity of cardiac receptors to circulating catecholamines, responsible for cardiac arrest during exercise and for resuscitation difficulties. The indication of epinephrine is discussed.
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Ann Fr Anesth Reanim · Jan 2008
Review Comparative Study[Sevoflurane and propofol: original and generic].