Annales françaises d'anesthèsie et de rèanimation
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To assess the performance of the COPA device during general anaesthesia. ⋯ COPA is a convenient device for airway management in fasting patients undergoing general anaesthesia for elective surgery in the supine position, in whom tracheal intubation is not indicated.
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Ann Fr Anesth Reanim · Jan 1998
Case Reports[Intrathoracic drainage of a compressive pulmonary bulla in a patient receiving mechanical ventilation].
A lung suppuration may result in a lung bulla with its own course. We report such a case following a Pseudomonas aeruginosa pneumonia of the upper right lobe, after aspiration of gastric contents, in a 21-year-old tracheotomized patient in chronic post-traumatic coma. Mechanical ventilation (IPPV) was indicated because of respiratory insufficiency. ⋯ All weaning attempts being unsuccessful, the patient was discharged under home mechanical ventilation. A CT-scan control 6 months later showed a normal lung parenchyma. The various alternative techniques to surgery for treatment of a lung bulla are discussed.
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Ann Fr Anesth Reanim · Jan 1998
Case Reports[Central venous catheterization...don't forget the caval filter].
Among the complications of central venous line insertion, entrapment of guidewire by inferior vena cava filter has been exceptionally reported. Usually the disengagement attempts resulted in a filter migration. We report a case of guidewire entrapment successfully treated with interventional radiology techniques.
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Ann Fr Anesth Reanim · Jan 1998
Case Reports[Dynamic left intraventricular obstruction after reconstructive mitral valve surgery].
A 71-years-old patient, undergoing mitral valve repair for degenerative valvulopathy and correction of pectus excavatus experienced a cardiogenic shock after weaning from cardiopulmonary bypass. The shock occurred after calcium chloride administration and was unresponsive to inotropic drugs. ⋯ Discontinuation of inotropic drugs and volume expansion restored the haemodynamic status. By its haemodynamic effects calcium chloride can cause left ventricular outflow tract obstruction, recognized by transoesophageal echocardiography.