Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2009
Letter Randomized Controlled Trial Comparative Study[Efficacy of a low dose of ketamine in reduction of propofol-injection-related pain].
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Ann Fr Anesth Reanim · Feb 2009
Comparative Study[Can serum protein S100beta predict neurological deterioration after moderate or minor traumatic brain injury?].
Patients with moderate traumatic brain injury (TBI) (Glasgow Coma Scale, GCS, 9-13) or minor TBI (GCS 14-15) are at risk for subsequent neurological deterioration. Serum protein S-100 is believed to reflect brain damage following TBI. In patients with normal or minor CT scan abnormalities on admission, we tested whether the determination of serum protein S-100 beta could predict secondary neurological deterioration. ⋯ The dosage of serum protein S-100 on admission failed to predict patients at risk for neurological deterioration after minor or moderate TBI. Extracranial injuries can increase serum protein S-100 levels, then limiting the usefulness of this dosage in this clinical setting.
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We report the case of a 36-year-old man who underwent neurosurgery for a T9 spine fracture consecutive to a fall. The patient had complete postoperative blindness which did not totally recover during the hospital stay. ⋯ Such postoperative complications in spine surgery are severe. To avoid them, it is mandatory to identify the contributing factors and set up a preventive strategy.