Annales de l'anesthésiologie française
-
Anaphylactic reactions to drugs used in general anesthesia have a complex mechanism: true anaphylaxis by antigen antibody reaction (IgG our IgE) histamine liberation by certain substances with a special chemical structure, activation of the alternative route of complement. The authors recall the immunological stages in each case and give examples.
-
Sixty-five infants were submitted to complete repairment of a congenital cardiopathy under profound hypothermia and ECC. Description of the preparation of the young surgical patient, of the anesthesia, of the technique of ECC. The overall mortality was 35.5 p. 100. The hypothermia induced by ECC, does not introduce any supplementary risks as long as strict technical rules are respected.
-
Illustrated by clinical reports, this study attempts to demonstrate the practical and didactic interest of various somatopsychological correlations in geriatrics. The confusional state in the elderly has no specific etiopathogenesis. ⋯ Any change is considered by the elderly patient as dangerous and worrying. Our perfectly justified fear of inaction and passivity together with a desire for rapid efficacy, should not lead us to forget that in geriatrics more than in any other branch of medicine, a prudent attitude in therapeutics is most likely to be successful.