Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Nov 2010
Case Reports[Massive recurrent haemoptysis in a pregnant woman with preeclampsia].
Massive haemoptysis are rare in pregnant woman. Besides usual causes of haemoptysis, cases of idiopathic haemoptysis have been described during pregnancy, probably with a hormonal role. ⋯ Three sessions of bronchial artery embolization have been performed with success. The management of idiopathic haemoptysis in pregnant woman seems to be based on the usual algorithm of management, emphasizing on the control of blood pressure, and the key role of interventional radiology.
-
Ann Fr Anesth Reanim · Nov 2010
Case Reports[Wrong side iliofascial block in a patient with hip fracture].
We report the case of a patient who received a wrong side iliofascial block immediately before being operated for a femoral neck fracture. This error did not lead to any adverse consequence but this case confirms that wrong side or wrong site error can also occur in anaesthetic practice, especially in emergency procedures, and is not only confined to surgical practice. Anaesthesiologists should be careful when performing unilateral procedures and implement similar strategies than those used by surgeons.
-
Ann Fr Anesth Reanim · Nov 2010
[Ultrasound-guided interscalene block: Influence of anatomic variations in clinical practice].
This study aimed to evaluate visibility of interscalenic brachial plexus (IBP) variations with ultrasonography (US). Secondary end-point compared success rate of the interscalene block (IB) in shoulder surgery with or without the presence of variation. ⋯ The high-resolution cervical US highlights the IBP variations. These variations appear not to have any relevant influence on the performance of the single shot IB.
-
Ann Fr Anesth Reanim · Nov 2010
[Ultrasound-guided regional anaesthesia and the common classification of medical acts by the social security].
Ultrasound imaging is a major technological advance in the practice of regional anesthesia. For the social security, their rationale relies on the concept of a global medical act i.e., each medical act is worked out, in order to describe the realized medical act totally. At present the social security uses this concept to prevent the anesthetists from quoting a supplementary ultrasound act. In this article we discuss the legitimacy of quoting ultrasound-guided regional anaesthesia.