Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Sep 2006
Meta Analysis[Effectiveness of analgesic techniques after breast surgery: a meta-analysis].
To evaluate the effectiveness of locoregional analgesic techniques (thoracic paravertebral block (TPVB), wound infiltration (WI)) after breast surgery. ⋯ Single injection TPVB in contrast to WI is effective for analgesia after breast surgery and decreases PONV.
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Ann Fr Anesth Reanim · Sep 2006
Case Reports[Rupture of a thoracic aortic aneurysm into the right pleural cavity].
Rupture of an aneurysm of the descending thoracic aorta into the right pleural cavity is an uncommon event and its prognosis is rapidly fatal. Its diagnosis is difficult and it may remain unrecognized. We report the case of a 66-year-old patient with a haemorrhagic shock associated with a spontaneous right haemothorax. A ruptured aneurysm of the descending thoracic aorta was diagnosed during the surgical procedure.
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Ann Fr Anesth Reanim · Sep 2006
Case Reports[Use of activated recombinant FVII in the control of haemorrhage following trauma].
Uncontrolled haemorrhage is a major cause of death in trauma patients: sometimes inaccessible to surgery and often associated with coagulopathy. We report a case of severe blunt pelvic trauma associated with suicide. The conventional treatments were unsuccessful and embolization was impossible. ⋯ A 100 microg/kg recombinant activated factor VII dose was infused, twice. After administration of the first dose, the blood requirement decreased dramatically. Further work and trials are required to assess the safety profile and dose regimen for this drug.
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To evaluate the results of Off Site preanaesthetic consult in Lorraine and to draw up a method for these pre-operative visits. ⋯ Off Site preanaesthetic consult may have real benefits in terms of, patient satisfaction, comfort and cost-effectiveness. In the Lorraine region, a majority of anaesthetists has experience with this practice.