Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2007
Case Reports[Nefopam by continuous intravenous injection and adverse drug reactions: which causality assessment?].
We report the case of a 77-year-old man, with nefopam postoperative analgesia, who developed subacute neurological symptoms, whereas he had profound hypoprotidemia and acute renal failure. Chronological, semiological and bibliographical criteria are in favour of causality assessment. The plasma nefopam concentration (135 ng/ml) during the neurological symptoms is another argument.
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Ann Fr Anesth Reanim · Jan 2007
Review[Anaesthetic management of adult patients with obstructive sleep apnea syndrome].
The purpose of this review article is to update the anaesthetic management of adult patients with obstructive sleep apnoea syndrome (OSAS). ⋯ Further research is needed in this field of anesthesia. Intraoperative difficulties in the control of airway and postoperative cardiac and respiratory complications may happen. The use of nasal CPAP in the perioperative period makes the anaesthetic management easier and safer.
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Ann Fr Anesth Reanim · Jan 2007
Randomized Controlled Trial Comparative Study[Effects of music therapy in intensive care unit without sedation in weaning patients versus non-ventilated patients].
Music has been found to be an effective nonpharmacologic adjunct for managing anxiety and promoting relaxation in limited trials of critically ill patients. However, its effects have not been compared in intubated patients during weaning from mechanical ventilation with non-intubated patients spontaneously breathing. ⋯ A single music therapy session was found to be effective for decreasing anxiety and promoting relaxation, as indicated by decreases in heart rate, blood pressure, BIS and respiratory rate over the intervention period in intubated patients during weaning phase.
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Ann Fr Anesth Reanim · Jan 2007
Randomized Controlled Trial[Analgesia after hip fracture repair in elderly patients: the effect of a continuous femoral nerve block: a prospective and randomised study].
The usefulness of peripheral femoral nerve block for pain management after hip fracture has been established. This prospective and randomised study compared the analgesia effect of a continuous femoral nerve block (CF) versus two conventional analgesia procedures after hip fracture. ⋯ Continuous femoral nerve block provided limited pain relief after hip fracture did not reduced side effects and induced an expensive cost.