Cahiers d'anesthésiologie
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Cahiers d'anesthésiologie · Jan 1996
Biography Historical Article[History of anesthesia: Frederic Hewitt and nitrous oxide anesthesia].
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Cahiers d'anesthésiologie · Jan 1996
Randomized Controlled Trial Comparative Study Clinical Trial[Evaluation of 2 dosages of fentanyl in caudal anesthesia. A prospective randomized double-blind study].
A caudal block is currently performed in children. A randomized and double blind study including two dosages of fentanyl: 0.5 microgram.kg-1 (group I) and 1 micrograms.kg-1 (group II) in association with bupivacaine 0.25% at a dosage of 1 mL.kg-1 was carried out. Two groups of 25 children undergoing urogenital or orthopaedic surgery participated in this study. ⋯ Furthermore, recovery of anaesthesia was rapid and calm. The frequency of nausea and vomiting was respectively 24% and 20% in groups I and II and did not require any specific therapy. Therefore it appears that caudal block with bupivacaine 0.25% and fentanyl 0.5 microgram.kg-1 is a very satisfactory technique in children when indicated.
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Cahiers d'anesthésiologie · Jan 1996
[Neurological accidents after epidural anesthesia in obstetrics].
Several neurological complications have been described after epidural anaesthesia, including direct trauma to the spinal cord or nerve roots, epidural haematoma, meningitis, epidural abscess, spinal cord infarction. neurologic toxicity of injected agents. In obstetric practice, these complications are very uncommon. However, their real occurrence may be underrated, partly for medicolegal reasons. Different complication mechanisms are described; they should be kept in mind while evaluating post block neurological deficits so that prompt corrective measures can be taken whenever appropriate to prevent permanent damage.
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Cahiers d'anesthésiologie · Jan 1996
Historical Article[History of anesthesia: the return of nitrous oxide].