Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 1986
[Femoral nerve block as a postoperative analgesia technic in surgery of the knee].
A femoral nerve block was performed as a postoperative analgesic technique in 50 patients after knee surgery; this surgery is a very painful one. The technique used was the inguinal route, as described in the textbooks. ⋯ The average duration of analgesia was 600 min, the shortest being 300 min, the longest being 1,200 min. This technique can be recommended after surgery of the knee as safe and reliable.
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Ann Fr Anesth Reanim · Jan 1986
[Cardiac arrest during anesthesia and the recovery period. Data from the INSERM survey 1978-1982].
This report analyses rate, predisposing factors, causes and outcome of 458 cardiac arrests occurring during anaesthesia and the following 24 hours and collected in France by a national prospective survey between 1978 and 1982. The overall rate of cardiac arrests was 1 per 433 anaesthetics, resulting in death before the 24th postoperative hour in 79% of cases, i.e. 1 per 547 anaesthetics. Cardiac arrests not related to anaesthesia were three times more frequent than those related to anaesthesia. ⋯ The first were mainly related to histamine release and had the lowest mortality rate. The last were mainly related to unrecognized postoperative respiratory depression and resulted in the highest mortality. The authors underline the necessity of better preoperative detection of high risk patients, smooth induction of anaesthesia, continuous clinical monitoring of the patient during surgery and the recovery period.
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Ann Fr Anesth Reanim · Jan 1986
[Sciatic nerve block by the anterior approach in surgery of the legs].
Forty-four sciatic nerve blocks were performed by the anterior route in combination with forty-four "3-in-1" blocks and seven lateral femoral cutaneous nerve blocks. The use of radioscopy for determining the anatomic injection points made the technique easier and safer. It was preferred for patients in whom general anaesthesia was not desirable for lower limb surgery.
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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.