La Tunisie médicale
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La Tunisie médicale · Nov 2011
Randomized Controlled Trial[Effects of 15 mcg intrathecal clonidine added to bupivacaine and sufentanil for labor analgesia].
For the combined spinal epidural analgesia for labour, 30 mcg of subarachnoid clonidine has proved its effectiveness to extend the analgesia, but increased severe hemodynamic effects. ⋯ The addition of 15 mcg intra thecal clonidine to the bupivacaine and the sufentanil during combined spinal epidural analgesia for obstetrical labour results in extended significantly duration of analgesia without increasing side effects.
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To focus on the various studies evaluating the effects of Nacetylcysteine in septic shock ⋯ NAC seems to play an important role in septic shock to control free radicals and the inflammatory response. But these results remain contradictory. Some larger and more standardized studies should allow to evaluate the actual effects of NAC in septic shock.
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La Tunisie médicale · Oct 2011
Multicenter StudyVenous thromboembolism risk and prophylaxis in the acute hospital care setting-results of the Endorse study in Tunisia.
There are not information about the risk of venous thromboembolism (VTE) and its prophylaxis in Tunisia. ⋯ The percentage of at risk patient in Tunisia is comparable to these of other countries. The majority of at risk patient are medical. The prophylaxis was under used. Hospital strategies to assess patient VTE risk and implementation of prophylaxis protocols are needed.
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La Tunisie médicale · Aug 2011
[Obesity hypoventilation syndrome and obstructive sleep apnea syndrome: is there an association?].
Severe obesity sometimes leads to a chronic alveolar hypoventilation: obesity hypoventilation syndrome (OHS), (Pao2<70mmHG, Paco2>45mmHG and body mass index (BMI)>30Kg/m2). The association with an OSAS is frequent. ⋯ The alveolar hypoventilation in SAS seems to be in correlation with the degree of obesity. The hypercapnie in the OHS is in relation neither with the SAOS nor with its severity. The OHSSAS association is usual but not synonym; the OHS is an autonomous disease.