Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · May 2010
Case Reports[Haemorrhagic shock after severe abdominal trauma in children: knowing when to change from conservative to surgical management].
Abdominal vascular injuries following a serious falling out are quite rare in children. They can lead to haemorrhagic shock whose etiological diagnosis may be difficult in children in case of multiple trauma. The current management of abdominal injuries in the child is usually conservative, surgery being indicated in haemodynamically unstable patients. ⋯ Aggressive resuscitation associated with early laparotomy for haemostasis, contrary to usual practices advocated in such a context, have helped control the hemorrhagic shock and stabilize the haemodynamic status of the child. The subsequent evolution was favourable, with full recovery. While a conservative attitude usually prevails in the management of traumatic intra abdominal bleeding in children an interventional attitude with emergency surgery must be sometimes considered.
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Ann Fr Anesth Reanim · May 2010
[Lumbar tattoos and neuraxial anaesthesia in obstetrics: practice survey in Languedoc-Roussillon, France].
To determine neuraxial anesthesia practices in obstetric departments in Languedoc-Roussillon in parturient with large lumbar tattoo covering the puncture area. "A prospective anonymous survey was sent to anaesthesiologists" including a clinical case scenario with a tattooed woman. Questionnaire included items on neuraxial anaesthesia in various circumstances, reasons for the decision process, and "consensus management" or not "within the unit". Fifty-four anaesthesiologists answered (response rate: 57%). ⋯ Elective or emergency caesarean section would prompt most of the anaesthesiologists to perform a spinal anaesthesia, especially in parturients with Mallampati Class III (93%) versus Class I (70%) airway. Seventy percent of responders reported no consensual management in their unit. Our study illustrates this lack of consensus in obstetrical units and among anaesthesiologists along with a variable attitude linked with the obstetrical and anaesthesiological situation.
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Ann Fr Anesth Reanim · May 2010
Letter Case Reports[Prehospital airway management of a trachea rupture].