Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2000
Comparative Study[Effect of a lung contusion on the prognosis of severe head injury in the child].
To assess the effects of a pulmonary contusion (PC) on the outcome of a severe head trauma (SHT) in children less than 15-year-old. ⋯ The association of a PC to a severe head trauma is responsible for a poorer outcome in children, probably because, at least in part, a higher incidence of hypoxaemia.
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Ann Fr Anesth Reanim · Feb 2000
Review[Tracheal gas insufflation associated with mechanical ventilation for CO2 removal].
Tracheal gas insufflation (TGI) either continuously, or at inspiration, or at expiration, is a technique associated with mechanical ventilation aimed to enhance CO2 elimination in favouring washout of anatomical dead space. This article analyses the mechanism of action, the techniques and the effects of TGI in presence of hypercapnia, especially in the fame of ARDS in adults. ⋯ In mechanically ventilated patients, additional TGI is a valuable technique for decreasing anatomical dead space. TGI decreases hypercapnia during mechanical ventilation with limited tidal volumes in permissive hypercapnia. Further clinical studies with large series of patients are required to assess the benefits and the effect of TGI on outcome.
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Ann Fr Anesth Reanim · Feb 2000
Case Reports[Monitoring jugular venous oxygen saturation in severe cerebral vasospasm after subarachnoid hemorrhage].
Cerebral arterial vasospasm is a major complication of aneurysmal subarachnoid haemorrhage. The conventional treatment of this complication includes haemodilution, hypervolaemia, arterial hypertension and nimodipine. ⋯ However it does not provide an accurate metabolic information on the ischaemic status of the cerebral tissue. This article describes the monitoring of jugular venous bulb oxygen saturation to obtain a real time information on the metabolic effect of cerebral vasospasm and its variations after intra-arterial infusion of papaverine.