Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Apr 2003
[Von Hippel-Lindau disease and obstetric anaesthesia: 3 cases report].
Von Hippel-Lindau (VHL) disease is a rare autosomal dominant genetic disorder with retinal and nervous system haemangioblastomas, phaeochromocytomia, kidney, pancreas and endolymphatic tumors. The management of childbirth, including epidural anaesthesia is controversial. The possible presence of vascular malformations (retinal and central nervous system and spinal haemangioblastomas) increases the risk of disrupting central nervous system haemangioblastoma during delivery and when epidural anaesthesia is initiated. We report 3 cases of patient with VHL disease with successful epidural anaesthesia 2 for delivery and 1 for Caesarean section.
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Ann Fr Anesth Reanim · Apr 2003
[An unusual case of post partum haemorrhage: leptospirosis infection].
We report the case of a 30-year-old woman with a post-partum haemorrhage and foetal death caused by a leptospirosis infection. This disease could induce a coagulopathy associated with foetal death and potential hazard for epidural analgesia.
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Ann Fr Anesth Reanim · Apr 2003
[The sitting position in neurosurgical anaesthesia: a survey of French practice].
It remains a French and international controversy about the use of the sitting position in neurosurgery. The aim of this study was to evaluate the frequency of sitting position use, perioperative monitoring and procedures for air embolism detection and treatment. ⋯ The survey concerned 83% of the centers. The number of centers using the sitting position was larger than in other countries like United Kingdom, Germany and Japan. Despite its lack of sensitivity capnography was universally practised. Preoperative contrast echocardiography for patent foramen ovale detection was not considered as necessary in all centers. Expert recommendations may be required.