Annales françaises d'anesthèsie et de rèanimation
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A 4 year old girl is referred to our institution for resection of a nephroblastoma with an extension of the tumor into the lumen of the inferior vena cava. To perform a correct resection of the tumor, the operation was conducted under cardiopulmonary bypass. ⋯ As the procedure was unventful, and no other cause of air emboli was found, the etiology of this emboli is problably retrograde because of the large opening of the inferior vena cava that was required to remove the tumor. To avoid similar case the use of transcranial doppler monitoring may be of interest.
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Ann Fr Anesth Reanim · May 2012
Review[Circumcision in children: an organizational or an ethical challenge?].
To review society, ethical and anaesthesiological issues related to circumcision in children. ⋯ The ethical point associated with circumcision is to allow best analgesia, in a way matching child's age. Analgesia, is achievable by both the surgeon and the anesthesiologist.
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Ann Fr Anesth Reanim · May 2012
Multicenter Study[Anaesthetic management of brain-dead for organ donation: impact on delayed graft function after kidney transplantation].
The aim of this study was to report current anaesthetic management brain-dead organ donors and to assess its impact on delayed kidney graft function (DGF). ⋯ During organ retrieval, 62% of organ donors received anaesthetic drugs. Use of anaesthesia lead to lower MAP requiring more fluid challenge with colloids but did not influence the DGF.
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Ann Fr Anesth Reanim · May 2012
Case Reports[Spontaneous intracerebral haemorrhage secondary to congenital factor XIII deficiency].
Deficiency of coagulation factor XIII is a rare anomaly. The risk of intracranial haemorrhage is particularly high at any age, either spontaneously or during minor trauma. We report a case of spontaneous intracerebral haemorrhage in a child carrying a known deficiency of factor XIII.
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Ann Fr Anesth Reanim · May 2012
Case Reports[Two cases of autoimmune encephalitis with antibodies to N-methyl-D-aspartate receptor in intensive care].
We report here two cases of autoimmune encephalitis associated with antibodies against the N-methyl-D-aspartate receptor. The primary cause was an ovarian teratoma in one case. The outcomes were good. ⋯ The second case was early treated in the course of the disease, due to the experience related to the previous case. In case of unexplained acute or subacute encephalitis or psychiatric-like disorders without prior medical history, the determination of the level of expression of antibodies against the N-methyl-D-aspartate receptors and other antineuroreceptors antibodies can help to identify this diagnosis. The initial picture of the disease, its variability and the unawareness of the recent reports on this encephalitis may lead to a wrong diagnosis and inappropriate management.