Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2002
Case Reports[Anaphylaxis after rocuronium: advantage of blood tests for early diagnosis].
A 56-year-old patient was scheduled for coronary artery bypass surgery, because of a severe coronary artery disease. Soon after induction of anaesthesia, he rapidly developed a cardiovascular collapse with bronchospasm and rash. Specific immunoglobulin E and tryptase measurements supported the diagnosis of grade III anaphylactic shock due to rocuronium bromide. A few days later, a general anaesthesia was administered without muscle relaxant and was uneventful.
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Ann Fr Anesth Reanim · Mar 2002
[Evaluation of regional anesthesia procedure in an emergency department].
Evaluation of regional anaesthesia procedures for limb traumatic surgery performed in an emergency department. ⋯ In our study, regional anaesthesia is the most used technique when compared to general anaesthesia for emergency procedure. The anaesthetic staff has to be motivated and trained.
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Ann Fr Anesth Reanim · Mar 2002
Case Reports[Orbital exenteration: an unusual cause of failure of assisted ventilation from a face mask].
Orbitary exenteration for tumor may concern ethmoidal wall, and may create a large communication between the orbital cavity and the cavum. We present the case of a patient scheduled for ocular prosthetic surgery after an unilateral orbitary exenteration. ⋯ We recommend orbitary radiographic and clinical evaluations for patient with orbitary exenteration before general anaesthesia to evaluate the communication between the orbital cavity and the cavum. Such an anatomic communication may result in inefficient facial mask ventilation.
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To assess the prescription patterns in French and foreign centres for antibiotic prophylaxis in cardiac surgery. ⋯ The French recommendations may have influenced favourably the antibiotic choice but the prophylaxis duration was too long in most of the non French European centres.