Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2002
[Evaluation of the learning curve of a new intubation technique: intubating laryngeal mask].
Assessment of the learning curve of a new device for blind orotracheal intubation: Intubating laryngeal mask. ⋯ The intubating laryngeal mask is a new device for blind orotracheal intubation with an easy learning curve in patients without difficulty in airway management, even for non-selected operators.
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Ann Fr Anesth Reanim · Oct 2002
Case Reports[Chest pain and sulprostone during postpartum hemorrhage].
A case of chest pain in a 31-year-old woman after vaginal delivery with epidural analgesia during sulprostone administration is described. Chest pain occurred shortly after sulprostone was started and disappeared when sulprostone was stopped. Ischaemia related data were negative. ⋯ Sulprostone pharmacology is summarized. Coronary artery effects are compared with literature reports. Recommendations before sulprostone use are underlined.
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Ann Fr Anesth Reanim · Oct 2002
[Is length of stay in the recovery room a risk factor for cross infections?].
To assess cross contamination for patients at the time of their stay in the recovery room (RR). ⋯ Cross contamination can exist in recovery room and educative measures are to be taken regarding handwhashing, isolation precautions and environmental cleaning.
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Ann Fr Anesth Reanim · Oct 2002
Case Reports[Shaken baby syndrome: improvement of cerebral blood flow velocity after a subdural external derivation in a six-month old infant].
The shaken baby syndrome is a severe form of child abuse. The intracranial injuries are associated with a high morbidity and mortality rates. A 6 month-old healthy infant presented at home a cardiorespiratory arrest. ⋯ Transcranial Doppler examination found the cerebral blood flow velocities to be decreased while the pulsatility index was increased. A sub-dural-external drainage allowed the cerebral blood flow to increase and the pulsatility index to decrease. We conclude that transcranial Doppler examination can be helpful for the clinician caring children presenting a shaken baby syndrome.
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Ann Fr Anesth Reanim · Oct 2002
Case Reports[Convulsions induced by ropivacaine after midhumeral block].
We report a case of central nervous system toxicity induced by ropivacaine following a brachial block at the humeral canal. Forty millilitres 0.75% ropivacaine (4.28 mg.kg-1) were used uneventfully, with slow injections and negative intermittent aspirations. Fifteen minutes later, the patient presented two episodes of generalised convulsions treated by diazepam, 20 mg. The total venous ropivacaine concentration measured two hours after the block was 2.3 mg.l-1.