Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Dec 2002
Case Reports[Multitruncular block at the elbow for a major hand trauma for prehospital care].
Upper limb peripheral nerve blocks offer many advantages but they are not widely used in prehospital care. We report the case of a multitroncular block at the elbow made by the emergency department team out of the hospital after a major hand trauma. A successful axillary brachial plexus block was done two hours later, without any problem. This case report allows us to discuss about different analgesia techniques useful in prehospital care.
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Ann Fr Anesth Reanim · Dec 2002
Case Reports[Unusual complication after hip surgery under spinal anesthesia].
The development of an acute respiratory distress syndrome following hip surgery in elderly patients is suggestive of thromboembolism in most instances. However, we must keep in mind the possibility of rarer complications, which can remain undiagnosed because they are hidden by prominent abnormal behaviours, which can develop following any type of anaesthesia. ⋯ Because this patient was old and had previously developed chronic lung disorders, we selected a spinal anaesthesia for performing the surgery; these underlying respiratory disorders worsened the clinical consequences of the inhalation. The dental crown was removed under general anaesthesia with spontaneous ventilation using a bronchoscope after an unsuccessful attempt with a fibrescope due to the size of the foreign body.
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Evaluate the problem of violence in French EMS system and characterize assaults. ⋯ Formal training in the management of violent encounters and prevention of post-traumatic stress should be developed.