Acta anaesthesiologica Belgica
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Acta Anaesthesiol Belg · Jan 1984
Pediatric regional anesthesia. Its use in the pre-, per- and postoperative period.
Accidents in children can occur at any moment of the day. A child has rarely an empty stomach and it is very difficult to determine when he ate or drank for the last time. The stress of the accident can slow the digestion and even stop completely. ⋯ Pain and anxiety often present with anatomical deformation may be the cause of panic that should be promptly appeased. For these reasons, there has been an increase in interest in the use of nerve block techniques in children as has been the case in adults. We carry on Brachial Plexus Blocks and Epidural Blocks.
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The use of computers in the practice of anesthesiology appears to be very promising--therefore the time has come to reflect on ways to utilize the possibilities of computers in this field. The anesthesiologist is faced with an existing "medical information science" and system developments and must now address these questions: How do computers fit in these systems? What is the kind of support and help one can expect from the use of computers? Next one attempts to define the needs for computer support, taking into account the specific working conditions of various anesthesia teams. A description is made of how a system for medical information is automatized--and by way of an example--how such a computer system for anesthesiologists is linked to a larger regional facility. Advantages and disadvantages of such a system are discussed.
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Acta Anaesthesiol Belg · Jan 1984
Case ReportsThoracic epidural analgesia in the treatment of rib fractures.
Rib fractures and flail chest could be fatal if gas exchange is impaired. Efficient pain relief with continuous thoracic epidural analgesia allows a good physiotherapy management without central sedation and impairment of cough reflex, this prevents pulmonary atelectasis and infection. Eighteen patients/19 were treated with success in spite of flail chest, chronic obstructive pulmonary disease and minor pulmonary contusion. Intermittent positive pressure ventilation must be reserved to severe pulmonary contusion and other crushing injuries of the chest as bronchial or great vessels ruptures.
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Acta Anaesthesiol Belg · Jan 1984
A multicenter registration project of cardiopulmonary resuscitation in Belgium. The Studygroup "Cerebral Resuscitation" of the Belgian Society of Intensive Care Medecine (SIZ).
Within the SIZ, a national multiïnstitutional clinical research group on cardiopulmonary and cerebral resuscitation (CPCR) has been formed in 1982. The objectives of the studygroup are: Study and improve CPR and cerebral resuscitation post CPR; Optimalise emergency medical services (EMS) in Belgium in this respect. ⋯ As the number of patients increases in 1983, this "data bank" information will be valuable both for prognostic prediction of outcome in individual patients post CPR and for guiding improvement in EMS organisation. The study method should allow subsequently the evaluation of future brainresuscitative therapies.
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Acta Anaesthesiol Belg · Jan 1984
Volume limited ventilation for treatment of severe respiratory distress in neonates.
Ventilatory treatment of the very small infant with severe respiratory distress remains controversial. At several occasions pressure limited ventilators have shown not to provide adequate alveolar ventilation in these newborn babies. On the other hand, until now few data are found concerning the ventilation of newborns with volume limited ventilators. The authors report two cases with successful ventilation using a servo controlled volume limited machine and they stress the possibilities and advantages of such a type of ventilator in a neonatal intensive care unit.