Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Apr 2011
[Efficacy, safety and cost of sedation with sevoflurane in intensive care unit].
To study efficacy, systemic and cerebral haemodynamic, and cost of sedation with sevoflurane after midazolam failure. ⋯ Sevoflurane is an effective and safe alternative to midazolam in ICU patients associated with a moderate increase in costs.
-
Ann Fr Anesth Reanim · Apr 2011
Case Reports[Anaphylactic shock in surgery of liver hydatid cyst in children: a case report].
The hydatid disease is common and remains endemic in Morocco. The treatment relies mainly on surgery. ⋯ We stress through the pediatric case reported the exceptional occurrence of anaphylactic shock during surgery and the need for its early recognition in order to establish effective treatment. Prevention relies mainly on surgical precautions taken to avoid seeding of the abdominal cavity.
-
Ann Fr Anesth Reanim · Apr 2011
Case Reports[Gas embolism: another story related to a central venous catheter withdraw].
Paradoxical gas embolism is rare but life threatening complication of central venous access. In this observation, we report a paradoxical gas embolism accompanied by an acute respiratory failure and a coma following a jugular central venous access withdrawal in a liver transplanted patient. Following this observation, we discuss the prevention of gas embolism accidents and the hyperbaric oxygen therapy for its management.
-
Ann Fr Anesth Reanim · Apr 2011
Case Reports[A rare cause of cardiogenic shock treated by extracorporeal life support: catecholamine secreting paraganglioma].
Phaeochromocytoma and paraganglioma are chromaffine tumours secreting catecholamines. They are usually revealed by a paroxystic hypertensive crisis associated with headaches, palpitation and sweats. We reported a case of a young patient presenting a state of life threatening cardiogenic shock as unusual revelation of this tumour, requiring the implementation of an extracorporeal life support until myocardial recovery.
-
Ann Fr Anesth Reanim · Apr 2011
[Psychological experience of health care professionals in intensive care unit: a qualitative and exploratory study].
Study the subjective and emotional experience of health care professionals in intensive care unit in front of sources of professional stress connected to the emergency and to the gravity of the pathologies of hospitalized patients. ⋯ The discussion approaches the question of the feeling of pressure at works and its various items by underlining the interpersonal variations of these experiences, then the question of the emotional adaptation through the individual and collective defensive strategies organized to cope with these various situations.