Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2014
Case Reports[Fatal Panton-Valentine leukocidine-associated Staphylococcus aureus necrotizing pneumonia].
Panton-Valentine leukocidin-producing Staphylococcus aureus necrotizing pneumonia is an unusual cause of community-acquired pneumonia associated with a high fatality rate. The specificities of its presentation must be known by the critical care doctor, in order to quickly make the diagnosis and start the right antibiotics and discuss adjunctive therapy with intravenous immunoglobin. Moreover, the management of close contacts (household and healthcare workers) of patient with such a pneumonia is not well-known. The present case report underlines the clinical presentation of this pneumonia, the specificities of its treatment, and specifies the management of close contacts.
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Ann Fr Anesth Reanim · Nov 2014
Case Reports[A post-intubation tracheal rupture in intensive care unit].
Tracheal rupture is one of the most serious post-intubation complication. However, it is widely underestimated. ⋯ Special care should be paid to this complication, early diagnosis has probably a prognostic value. Training operators in the use of stylets and monitoring cuff pressure are required.
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Ann Fr Anesth Reanim · Nov 2014
[Infusion of vasoactive drugs at low flow rate: Effects of the syringe switch and syringe volume (experimental study)].
The flow rate of intravenous administration of vasoactive agents should be steady in order to prevent changes in hemodynamics. In the newborns, because the flow rate is often lower than 1mL/h, it is difficult to switch of the syringe. The aim of our study was to compare the variations of concentration of active substance delivered after a manual or an automatic switch off the syringe with three different volumes (10mL, 20mL and 50mL). ⋯ In newborns, in order to prevent the change in flow rate of drugs after a switch of syringes, our results suggest the use of syringe-pump with built-in automatic switch and small-volume syringes.
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Ann Fr Anesth Reanim · Nov 2014
Case Reports[Patient treated with sub-mental intubation for maxillofacial trauma].
Maxillo-facial traumas are frequent and most often occur in young patients. Naso-tracheal or orotracheal intubation may be contraindicated in case of combined occlusal fracture and nasal or ethmoido-nasal fracture. ⋯ Submental intubation is a reliable single and safe technique allowing an one-stage surgical treatment in case of complex association of fractures without using tracheotomy. Its use should be implemented on a larger scale.