Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 1986
Case Reports[Contracture test with ionophore A 23187 for the diagnosis of malignant hyperthermia].
The results are reported of the contracture test obtained by using the calcium ionophore A 23187 (Calcimycin) in two patients, the son (A) and the mother (B). The past history of patient A revealed the occurrence of an impending malignant hyperthermia crisis during induction of anaesthesia in 1975. ⋯ It is suggested the A 23187 contracture test be added to the contracture tests as defined by the European Malignant Hyperpyrexia Group. This test could be of great help in identifying the percentage of relatives of MHS ("malignant hyperthermia susceptible") patients found to be MHE ("malignant hyperthermia equivocal").
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Ann Fr Anesth Reanim · Jan 1986
Case Reports[Heart arrest during general anesthesia in a child with unrecognized Duchenne's dystrophy].
A three-year old child was anaesthetized by halothane. Cardiac arrest occurred soon after the injection of suxamethonium. Signs of rhabdomyolysis associated with hyperkalemia were present. The diagnosis of Duchenne muscular dystrophy was obtained afterwards.
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A case is reported of acute fatty liver of pregnancy with maternal and foetal survival inspite of jaundice, encephalopathy, renal failure, gastro-intestinal haemorrhage and serious coagulation problems. The acute fatty liver is a rare disease of unknown aetiology which occurs during the third trimester of pregnancy. Early diagnosis based on liver biopsy obtained by the transjugular route, immediate delivery of the foetus and intensive care improve an otherwise fatal prognosis.
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Ann Fr Anesth Reanim · Jan 1986
[Brachial plexus block in children. Approach through the brachial canal].
This study included 35 children (average age: 8 years) undergoing surgery of the upper limb under brachial plexus block. The brachial plexus was approached by the brachial canal route, which is a simple, rapid and efficient way (34 were successful). ⋯ In addition, postoperative analgesia was satisfactory in all cases. In spite of large doses and volumes of lidocaine and bupivacaine used with this technique, no complication was observed.
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Ann Fr Anesth Reanim · Jan 1986
Case Reports[Carpopedal spasm during anesthesia with halothane: malignant hyperthermia or tetany?].
A case of probable crisis of malignant hyperthermia triggered by halothane is reported. The diagnosis was rapidly suspected; it evolved rapidly after the start of the specific treatment of malignant hyperthermia and the injection of calcium and thiopentone. The diagnosis and the role of calcium and thiopentone are discussed.