Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Aug 2004
Review[Laboratory animal anaesthesia: influence of anaesthetic protocols on experimental models].
The use of experimental animals requires anaesthesia to provide immobility and analgesia. Animals require anaesthesia not only for ethical reasons but also because pain and stress can alter the quality of research results. Recognition of pain, and its treatment is important throughout the procedure. ⋯ The same anaesthetic could have opposite effects from an organ to another. For results validation, the anaesthesia side effects (hypoventilation, hypotension, cooling em leader ) have to be minimized. All new experimental models should require discussing the possible interferences between anaesthesia and results and to compare results obtained with different anaesthetic protocols.
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Ann Fr Anesth Reanim · Aug 2004
Case Reports[A case of hypertriglycideremia-induced pancreatitis in pregnancy: value of heparin].
We report the case of a 28-year-old secundipari with a history of severe hypertriglycideremia-induced pancreatitis 3 years ago who was admitted in the 37th week of gestation with abdominal pain. A blood sample had a milky aspect and plasma concentrations were as follows: triglycerides 8,5g/l, cholesterol 1000 mg/dl, amylase 574 IU/l, lipase 1310 IU/l. Acute pancreatitis was diagnosed, a caesarean was performed under spinal anaesthesia. ⋯ Treatment with 15,000 IU heparin per day and intravenous nutrition decreased triglycerides level to less than 1g/l within 48 h. She was discharged 28 days later. Heparin could be a low-cost alternative to plasmapheresis in hypertriglycideremia-induced pancreatitis.
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A 62-year-old woman with severe osteoporosis experienced pulmonary embolism by polymethylmethacrylate after percutaneous vertebroplasty. The patient immediately developed respiratory and cardiac distress, and a computed tomographic scan revealed the presence of cement in the pulmonary circulation. Proper techniques can minimize the risk of pulmonary embolism during percutaneous vertebroplasty: adequate preparation of cement and fluoroscopy during the procedure are recommended.
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Ann Fr Anesth Reanim · Aug 2004
Case Reports[Right uncontrollable haemothorax revealing a liver injury with diaphragmatic rupture].
We report a case of a woman with a blunt thoracic trauma and haemorrhagic shock after a road traffic accident. The clinical and complementary examinations revealed an isolated right haemothorax, which was compressive and uncontrollable. The source of bleeding was discovered with delay and during a surgical exploration: it was a liver injury with diaphragmatic rupture but without hepatic herniation and peritoneal effusion. The diagnostic features of blunt diaphragmatic rupture are discussed.
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Ann Fr Anesth Reanim · Aug 2004
[French residents in anaesthesia and critical care - a nationwide survey].
We surveyed the residents in their first (R1) and fourth (R4, last) years of residency in anaesthesia and intensive care in France. ⋯ French residents in anaesthesia are satisfied of their initial choice for anaesthesia and don't regret it at the end of their residency training.