Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2012
Case Reports[Anticoagulation and antiphospholipid syndrome: be careful to the catastrophe].
Antiphospholipid syndrome associate thromboembolic events (arterial or venous), and presence of antiphospholipid antibodies, and require anticoagulation. A catastrophic variant may develop, resulting in multiorgan failure, with high mortality rate. This article presented a patient with antiphospholipid syndrome presenting a catastrophic antiphospholipide syndrome after anticoagulation suspending for gastrointestinal bleeding. Multidisciplinary management in intensive care unit and aggressive therapies (corticosteroids, anticoagulation, plasma exchange) were essential to rescue the patient.
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Ann Fr Anesth Reanim · Oct 2012
Case Reports[Continuous spinal anesthesia and pulmonary arterial hypertension].
We report the use of continuous spinal anesthesia for hip fracture surgery in a patient with pulmonary arterial hypertension. Preoperative evaluation, anesthetic technique and preoperative monitoring are discussed.
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Ann Fr Anesth Reanim · Oct 2012
[Patient associated fire in theatre: are we ready to prevent and/or manage it? Assessment of the anaesthetist's knowledge in Lorraine].
To assess knowledge amongst anaesthetists as regards to fire involving surgical patients in Lorraine. ⋯ Our survey underlines a lack of knowledge amongst anaesthetists towards the risk of patient associated fire in theatre.
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The practice of pediatric anesthesia requires a regular update of scientific knowledge and technical skills. To provide the most adequate Continuing Medical Education programs, it is necessary to assess the practices of pediatric anesthesiologists. Thus, the objective of this survey was to draw a picture of the current clinical practices of general anesthesia in children, in France. ⋯ This survey demonstrated that the practices regarding general anesthesia in children are relatively homogenous. Most of the differences appeared between LIBERAL and the others structures; the anaesthetic management for adenoidectomy illustrates these findings.