Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2003
[Laboratory testing measurement of FIO2 delivered by Boussignac CPAP system with an input of 100% oxygen].
CPAP (Continuous Positive Airway Pressure) is one of the treatments of the cardiogenic acute pulmonary edema (cAPE). Among the out-of-hospital used devices, Boussignac CPAP (Vygon) shows a good technical usability, but no analysis of delivered FIO2 is available. ⋯ Boussignac CPAP with 100 vol % oxygen input, delivers high levels of FIO2, especially for volume per minute values usually met in cAPE. The needed oxygen flow is lower than what is usually required by other CPAP flow generators using the venturi effect that may be used in out-of-hospital medical care.
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Ann Fr Anesth Reanim · Feb 2003
Case Reports[Serious cerebral venous thrombosis: can we use fibrinolytic?].
We report a case of thrombosis of superior sagittal and cavernous sinuses treated by direct instillation of fibrinolytic agents via selective catheterization. Despite risk of bleeding related to the pathology and treatment, no adverse side-effect occurred. This report is unusual regarding the poor initial clinical patient's condition with dilated and unreactive pupil. The good neurologic outcome warrants aggressive treatment in the most severe forms of cerebral venous thrombosis.
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Ann Fr Anesth Reanim · Feb 2003
Case Reports[Aortobronchial fistula developing from an infectious aneurysm of the thoracic aorta].
Aortobronchial fistula presenting as massive haemoptysis is a rapidly fatal process if not promptly diagnosed and repaired. It's an unusual complication of thoracic aneurysm. ⋯ Aortobronchial fistula diagnosis should be considered in patients who have minor or major haemoptysis and correct diagnostic procedures should be performed early. An aggressive surgical approach is often necessary.
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Ann Fr Anesth Reanim · Feb 2003
[Is obstetric epidural anaesthesia technically possible after spinal surgery and does it work?].
Previous spine surgery theoretically exposes the obstetric patient to a greater technical difficulty during regional analgesia for labour or during anaesthesia for caesarean delivery. Published experience suggests that epidural puncture is however technically possible in the majority of cases. ⋯ With an overall 18% failure rate, epidural anaesthesia is not contra-indicated in these patients but appears to be less reliable than in patients with normal spine. Psychological and technical preparation to the occurrence of failure is necessary.
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Ann Fr Anesth Reanim · Feb 2003
Letter Randomized Controlled Trial Clinical Trial[Unilateral spinal anaesthesia and haemodynamic benefit of low dose hyperbaric bupivacaine].