Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Aug 2001
Clinical Trial[Evaluation of antibacterial filters for peridural obstetrical anesthesia].
To assess the antibacterial efficiency of filters used in obstetrics when epidural top-ups are performed. ⋯ Antibacterial filters provide a good protection against a potentially contaminated procedure during epidural top-ups.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Goiter and pregnancy: a cause of predictable difficult intubation].
During pregnancy the thyroid undergoes several changes including altered function and gland enlargement. We describe the management of a 36-week pregnant woman presenting with upper-way obstruction secondary to tracheal compression by a large multinodular goitre. The patient was successfully managed with an awake fibreoptic intubation performed orally followed by a caesarean section and thyroidectomy as a combines procedure.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Anesthetic malignant hyperthermia and multiple organ dysfunction syndrome].
The typical explosive form of malignant hyperthermia caused by following isoflurane anaesthesia is a well-known phenomenon. Nevertheless, since dantrolene is used, its evolution toward a multiple organ failure has been rarely described. We report a case of typical explosive malignant hyperthermia caused by an isoflurane anaesthesia complicated by a cardiovascular failure, a disseminated intravascular coagulation, an acute liver failure and an acute renal failure. Afterwards, muscle weakness of the right calf was the only aftermath.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Ilio-inguinal Ilio-hypogastic nerve block with a single puncture: an alterantive for anesthesia in emergency inguinal surgery].
The authors describe the anaesthetic procedure for a strangulated hernia repair needing resection and anastomosis of the small bowel in an adult patient. This procedure was performed with an ilio-inguinal/ilio-hypogastric nerve block according to a paediatrical simplified technique with a single puncture. ⋯ This block associated with a very light sedation was sufficient for all the surgical procedure, and postoperative analgesia was efficient over 3 hours. This simplified nerve block, better than the conventional approach for the clinical practice, represents a recommended alternative for hernia repair in emergency for high risk patients who could have a general anaesthesia or a central block.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Acute rhabdomyolysis after spinal anesthesia for knee arthroscopy].
We report an observation of acute rhabdomyolysis of gluteus maximum muscles occurring in a non-obese patient installed in supine position that underwent knee arthroscopy under spinal anaesthesia. The patient had insulin-dependent diabetes melitus with documented microangiopathy. The interest of this observation resides in the occurrence of the syndrome after a short period of time (one hour) of installation in the supine position in a patient that did not have any of the generally described risk factors of rhabdomyolysis.