Annales françaises d'anesthèsie et de rèanimation
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Identifying risk factors and predictive models for Postoperative Nausea and Vomiting (PONV) and developing antiemetic guidelines for its prevention and treatment. ⋯ A strategy to prevent and treat PONV should depend on the individuals risk. However, its clinical usefulness and economic implications needs to be validated.
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Ann Fr Anesth Reanim · Feb 2003
Clinical Trial[Fiberoptic intubation in adult patients with predictive signs of difficult intubation: inhalational induction using sevoflurane and an endoscopic facial mask].
To evaluate the combination of inhalational induction with sevoflurane and fiberoptic intubation through a specific facial mask for anticipated difficult tracheal intubation (DI) in adults. ⋯ Inhalational induction with sevoflurane and fiberoptic intubation appeared easy, fast and cheap.
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Ann Fr Anesth Reanim · Feb 2003
Case Reports[Use of oral sildenafil (Viagra) in pulmonary hypertension after cardiac pediatric surgery].
Pulmonary hypertension remains a major cause of morbidity after cardiac surgery, although inhaled nitric oxide (iNO) was shown to have clinical benefit. Some patients are dependent on iNO, increasing the length of hospital stay. ⋯ Following cardiac surgery, pulmonary hypertension persisted and iNO could not be withdrawn. Sildenafil was administered orally (1,5mg x kg(-1), every 4 h) at the 15th postoperative day and iNO could be withdrawn within 24h with clinical improvement.
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Ann Fr Anesth Reanim · Feb 2003
Case Reports[Right atrial rupture following a hoof kick to the chest wall].
Several myocardial lesions can be induced by thoracic blunt trauma. It varies from myocardial lesions to heart rupture. ⋯ We describe a successful management of this case. We suggest that a diagnosis of cardiac chamber rupture should be considered in all cases of blunt thoracic trauma.
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Ann Fr Anesth Reanim · Feb 2003
Historical Article[Acute poisoning by chemical warfare agent: sulfur mustard].
To review story, mechanism of action, clinical and therapeutic bases of a sulfur mustard poisoning, by accidental, terrorism or war exposure. ⋯ Emergency care unit can be confronted with sulfur mustard during accidental contamination or acts of terrorism. First and most efficacy priorities of treatment are to remove and to decontaminate victims. New means of detection and treatment are studied since several years but are not still appropriate to human victims or mass treatment.