Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Jan 2014
Observational Study[Esophageal cancer surgery: Evolution of pain management, hemodynamics and ventilation practices during 16 years.]
To describe the evolution of perioperative anesthesia practices in for esophageal cancer surgery. ⋯ During these previous years, anesthesia practices in ventilation, hemodynamics and analgesia for esophageal cancer surgery have changed.
-
Ann Fr Anesth Reanim · Jan 2014
Case ReportsBispectral index transiently decreased to "0" during per-embolization rupture of an intracranial aneurysm.
Interpreting a Bispectral Index (BIS) of "0", corresponding to an isolelectric electroencephalography, can be difficult. After ruling out technical issues, such as leads disconnection, several possible causes for a decrease in the BIS persists, including deep anesthesia, hypothermia, decrease in the cerebral perfusion pressure and cerebral ischemia. We report a sudden transient decrease of the BIS to "0" in a patient that underwent a coil embolization of a ruptured intracranial aneurysm and suggest that the change in BIS values could provide useful information about the cerebral hemodynamic during aneurysm treatment and might provide indications of a serious cerebral event.
-
Ann Fr Anesth Reanim · Jan 2014
Case Reports[No surgery without previous compression ultrasound in patients with a superficial venous thrombosis: A case of massive paradoxical embolism.]
Lower limbs superficial venous thrombosis (LLSVT) is usually considered as common and of a benign prognosis. LLSVT can, however, be responsible for major thromboembolic complications: lower limbs deep vein thrombosis (LLDVT) and pulmonary embolism (PE). ⋯ Venous ultrasonography of the lower limbs must be systematically performed in case of LLSVT, in order to evaluate the presence of an associated LLDVT. A rigorous diagnostic and therapeutic approach is the only way to optimize the treatment of this disorder, and to avoid the occurrence of dramatic venous thromboembolic complications.