Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2014
Case Reports[Acquired long QT syndrome and cardiac arrest after general anesthesia. Case report and review of literature.]
A 30-year-old woman, with no medical history, is operated on for breast implants. In recovery room, an episode of torsade de pointes occurs, progressing to ventricular fibrillation. The ECG after cardiopulmonary resuscitation and conversion to a normal sinus rhythm shows a corrected QT interval prolongation, whereas it is normalized after 48hours. We hypothesize that a ventricular fibrillation occurred after a torsade de pointes, due to drug-induced long QT syndrome during general anesthesia, with probably drug interaction.
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Ann Fr Anesth Reanim · Jun 2014
Letter Case Reports[Diffuse encephalitis and coma on isotretinoin treated patient.]
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Ann Fr Anesth Reanim · Jun 2014
Guideline[Storing succinylcholine in prehospital settings following the recommendations of the French National Agency for the safety of medicines.]
The French National Pharmaceuticals Agency (ANSM) has recommanded in July 2012 not to break the cold chain before using succinylcholine (Celocurine®). ⋯ After recommendations from ANSM, conservation modes and destruction of succinylcholine in a prehospital environment were significantly impacted.
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Ann Fr Anesth Reanim · Jun 2014
Case Reports[Recurrent syncope in head and neck cancer: A case report.]
The repeated syncopes in case of head and neck cancer are a complication rarely described in the literature. They occur when the tumor invade the carotid sinus or the afferent fibers of the glossopharyngeal nerve. ⋯ A computerized tomography showed a voluminous tumor expanded to the carotid and parapharyngeal spaces. After treatment by isporenaline chlorhydrate in intensive care unit, a pacemaker was implanted to prevent syncopes and allowed the beginning of the chemotherapy.
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Ann Fr Anesth Reanim · Jun 2014
[To maintain or to withdraw life support? Variations on the methods of ending life in a pediatric intensive care unit over a period of 6 years.]
Since 2005, forgoing live-support (FLS) is allowed by the French law (known as the Leonetti law) for end-of-life patients only. This study aims at describing the variations over time in the use of the following methods to end life: FLS, brain death and cardiopulmonary resuscitation failure (CPR failure). It is a single retrospective study from 2007 to 2012. ⋯ The rate of CPR failure decreased over the same period (P=0.0015). The rate of brain death remained constant. Following to the Leonetti law, FLS increase, and palliative cares develop without any increase of mortality.