Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2008
Case Reports[Lemierre's syndrome from necrotizing pneumonia treated with extracorporeal CO2 removal].
We report a case of Lemierre's syndrome complicated with pulmonary septic abscesses, leading to necrotizing pneumonia. In spite of administration of appropriate antibiotics and a protective ventilation strategy, the patient had several bilateral pneumothoraces. ⋯ The patient was weaned from mechanical ventilation on day 68. He was then transferred to the chest surgery unit on day 83.
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Ann Fr Anesth Reanim · Mar 2008
Case Reports[Lactic acidosis associated with propofol during general anaesthesia for neurosurgery].
Propofol infusion syndrome (PRIS) is a new clinical entity reported in critically ill patients. Lactic acidosis, cardiac failure and rhabdomyolysis are the features. ⋯ We report here a case of very early lactic acidosis in a 66-year-old-man receiving propofol during a neurosurgery. The outcome was good after discontinuation of propofol.
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Ann Fr Anesth Reanim · Mar 2008
[Quality indicator survey of anaesthesia records in hospitals of Aquitaine].
Assessing the quality of anaesthesia records according to the criteria of the reference frame of professional practices evaluation proposed by the French Anaesthetists College (Cfar) in 2005. ⋯ This study brings information concerning the clinical relevance of anaesthesia records and preoperative evaluation practices.
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Ann Fr Anesth Reanim · Mar 2008
Case Reports[Paraumbilical block for strangulated umbilical hernia in emergency].
The authors describe a strangulated umbilical hernia surgery performed in emergency with a paraumbilical block associated with a local infiltration. For this patient, 3-4 ASA status, in occlusion, with iterative vomiting and coagulation disorders, general or spinal anaesthesia were high-risk technics. Paraumbilical block, sometimes used for anaesthesia or/and analgesia for programmed umbilical hernia surgery, allowed surgery with good conditions and procured prolonged postoperative analgesia. This block, easy to perform, is an interesting alternative in emergency for general or spinal anaesthesia in high-risk patients.
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Ann Fr Anesth Reanim · Mar 2008
Case Reports[Thoracoabdominal CT scan: a useful tool for the diagnosis of air embolism during an endoscopic retrograde cholangiopancreatography].
We report the case of an 82-year-old woman treated with biliary stents for an ampulloma of Vater's papilla, with recurrent stenosis of the common bile duct. She was hospitalized with a cholestasis. An endoscopic retrograde cholangiopancreatography (ERCP) was scheduled to change the biliary stent for a metallic one, under general anaesthesia, with oral intubation. ⋯ Cardiopulmonary resuscitation allowed a complete haemodynamic recovery but a poor neurological recovery. The patient was transferred in intensive care unit, were she died 12 days after, despite hyperbaric oxygen therapy and the disappearance of the air embolism on the following computed tomography scan. This case may be useful to recall the utility of a body-scan for the diagnosis, treatment and follow-up of an air embolism during ERCP.