Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Jun 2005
Case Reports[Labour epidural analgesia for a woman with hereditary macrothrombocytopenia].
Epidural analgesia is often considered as risk of epidural haematoma in a patient with thrombocytopenia. In this observation, uncomplicated epidural analgesia was performed in a pregnant woman with hereditary macrothrombocytopenia. She received continuous epidural labour analgesia for a vaginal delivery with a platelet count at 63x10(9)/l but platelets with high mean platelet volume (20fL) and normal function. No neurological sequelae or excessive bleeding occurred.
-
Ann Fr Anesth Reanim · Jun 2005
Case Reports[Medical treatment of an important trachea injury after tracheal intubation].
Tracheal injuries are rare but life threatening complications of anaesthesia. Two therapeutic strategies are presently proposed: a non-surgical strategy for small injuries and a surgical strategy for larger ones. This case report presented the non-surgical therapeutic strategy of a large tracheal injury. This strategy was discussed according to other published reports.
-
Ann Fr Anesth Reanim · May 2005
Review Case Reports[Value of skin tests for the choice of a neuromuscular blocking agent after an anaphylactic reaction].
We report a grade III allergic hypersensitivity reaction occurring in a 72-year-old patient immediately after anaesthesia induction. Anaphylaxis to cisatracurium was diagnosed on clinical symptoms, biological tests and positivity of the cutaneous tests to this neuromuscular blocking agent. Five days after this allergological assessment, rocuronium, a muscle relaxant for which skin tests appeared negative was used during surgery without adverse effects. The authors underline the value of a detailed allergological assessment to identify the pathophysiologic mechanism, the culprit drug and to propose a safer alternate drug that might be used.
-
Ann Fr Anesth Reanim · May 2005
Editorial Comment Comparative Study[Sedation in ICU: from clinical research to daily practice].