Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jul 2012
Review[Catheter-related bladder discomfort in post-anaesthesia care unit].
Catheter-related bladder discomfort (CRBD) is an unrecognized clinical event. Symptoms of CRBD secondary to an indwelling urinary catheter mimic those of an overactive bladder, i.e. urinary frequency and urgency with or without urge incontinence. ⋯ Antimuscarinic drugs, as oxybutynin, are today the main treatment. Further studies are warranted to confirm efficacy of ketamine, tramadol and gabapentin in this situation.
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Ann Fr Anesth Reanim · Jul 2012
Case Reports[Nemaline rod myopathy revealed by acute respiratory failure after an outpatient cataract surgery].
We report the case of a 63-year-old patient admitted to the ICU for an acute respiratory failure one week after an outpatient cataract surgery that revealed a nemaline rod myopathy. We present this rare myopathy whose particularities are its aetiology, which can be inherited, mostly with a congenital onset, or sporadic, and the variability of the age at presentation. We discuss the exceptional onset of severe unknown underlying diseases in the context of outpatient surgery.
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Ann Fr Anesth Reanim · Jul 2012
Case Reports[Pulmonary resection and ECMO: A salvage therapy for penetrating lung trauma].
The majority of chest penetrating trauma patients are successfully managed with tube thoracostomy and general supportive measures. Pulmonary resection for hemorrhagic shock is rarely required after trauma to control bleeding. ⋯ The use of extracorporeal membrane oxygenation (ECMO) can be started as rescue therapy. We report a case of 24-year-old man with major hemorrhagic shock with cardiac arrest and ARDS after traumatic penetrating lung injury that was successfully treated with pulmonary resection and ECMO.
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Ann Fr Anesth Reanim · Jul 2012
[Peripheral intravenous access in the operating room: characteristics and predictors of difficulty].
To investigate of predictor's factors of difficult venous access device in the operating room in elective surgery. ⋯ The optimization of venous access devices in the operating room through the search for predictors of difficulty.
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The aim of our study was to determine risk factors associated with nosocomial infections in children hospitalized for skin burn. ⋯ In our study, extent of burn surface greater than 10% of total body surface is as an independent risk factor for the occurrence of nosocomial infection.