Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Apr 2004
Review[Opioid anesthetics (sufentanil and remifentanil) in neuro-anaesthesia].
Remifentanil is the latest available compound of the 4-anilidopiperidine derivatives. It is characterized by an ultrashort duration of action and a metabolism independent of both hepatic and renal functions. Its main drawback is a lack of residual analgesia and the risk of postoperative hyperalgesia. ⋯ Morphine 0.08 mg/kg IV administered at bone replacement results in good postoperative analgesia without delayed recovery. In summary, remifentanil is appropriate when rapid recovery and neurological evaluation are desired. Conversely, sufentanil is more suitable and easier to administer when postoperative mechanical ventilation and postponed awakening are scheduled.
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Ann Fr Anesth Reanim · Apr 2004
Case Reports[Post-traumatic tension pneumothorax and pneumopericardium in spontaneous ventilation].
The occurrence of tension pneumopericardium in patient in spontaneous ventilation after blunt trauma is rare. The diagnosis is difficult and it may remain unrecognized. ⋯ The patient was not mechanically ventilated at any time. Pericardial relief was obtained by insertion of a chest tube.