Anesthésie, analgésie, réanimation
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Anesth Analg (Paris) · Jan 1979
[Neuromuscular block control during and after anaesthesia (author's transl)].
During many years the clinician's requirements for neuromuscular blocking drugs are satisfied by clinical investigations. Electromyographic recordings which are a satisfactory method are not useful in current practice. The use of nerve stimulators as Churchill Davidson apparatus modified for train of four impulses must reach the continental theatres, the response to neuromuscular blocking agents varying over a wide range. Five ways of stimulation can be used giving different informations, not only during anaesthesia, but so after particularly to specify the origin of some complications.
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Anesth Analg (Paris) · Jan 1979
Comparative Study[Computers in intensive care units (author's transl)].
The increasing amount of physiological data which is required to be stored and displayed has created a need for computers in Intensive Care Units. Small computerised units are now available with three main advantages: 1. ⋯ The use of new programmes without having to change the unit. These systems are reliable, providing the quality of the input signal is adequate.
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Anesth Analg (Paris) · Jan 1979
Case Reports[Surgery of hepatic hydatic cyst. Per-operative complications. Possibility of anaphylactic etiology (author's transl)].
Among fifty cases hepatic hydatid cysts, we have observed four serious complications during operation. These complications appeared at the time of the puncture of the cysts with a severe shock in three cases. ⋯ Because the severity of these accidents (one death), anesthesiologist must be aware of the possibility of such complications: it is important to recognize anaphylactic reactions during surgical procedure to institute immediately a treatment to restore both circulatory competency and cardiac out put. Vasopressors with both alpha and beta properties are most useful under the conditions of massive peripheral vasodilatation and bronchospasm which occur in anaphylaxis.