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Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression最新文献

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[Anesthetic problems and postoperative care in the surgery for scoliosis]. 脊柱侧凸手术中的麻醉问题及术后护理
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
J Dubos, C Mercier
{"title":"[Anesthetic problems and postoperative care in the surgery for scoliosis].","authors":"J Dubos,&nbsp;C Mercier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Scoliosis surgery in the adolescent is prolonged, painful and haemorrhagic. There are neurological risks and surveillance of the medulla is necessary throughout surgery. An anterior (Dwyer, Zielke) or posterior (Harrington, Cotrel-Dubousset, Luque) approach to the spinal column cas used. Surgery using a posterior approach is the more haemorrhagic. The haemorrhage is increased by poor positioning of the patient, by the duration of surgery and by taking the bone graft. Constant care should be given to blood economy, using controlled hypotension, haemodilution and peroperative autotransfusion of lost blood (Cell-Saver). The anaesthetic should provide excellent analgesic effects and must be compatible with regain of consciousness during surgery and/or or the use of evoked potential techniques. Complications at that time are those of the circulation and those of neurological origin and linked with hypothermia. In the presence of haemorrhage, the maintenance of total blood volume is difficult when there is cardiopathy (myopathy). Neurological complications should be detected sufficiently early for them to be reversible (sensori-motor evoked potentials and/or \"wake-up test\"). Hypothermia is constant and requires the systematic use of a heated mattress, a heated humidifier and the heating of infusions. The postoperative complications are respiratory in origin and are especially associated with neuro-muscular disease (postoperative artificial ventilation). The per- and postoperative difficulties demonstrate the importance of the preoperative examination and of the preparation of the operation (respiratory preparation). Finally, staged autotransfusion should be used, when possible, and should be part of the techniques of blood economy in a true transfusion strategy.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Prone position and operative posture in neurosurgery]. [神经外科俯卧位与手术位]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
J P Graftieaux, P Ades, P Gomis, A Leon, A Bazin, P Peruzzi
{"title":"[Prone position and operative posture in neurosurgery].","authors":"J P Graftieaux,&nbsp;P Ades,&nbsp;P Gomis,&nbsp;A Leon,&nbsp;A Bazin,&nbsp;P Peruzzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The most satisfactory method of prone positioning for the posterior approach to the spine and posterior fossa has been influenced by the necessity of providing good operating condition: prone position without abdominal and thoracic compression with a patient's head in the neutral position. Communication between the cava veins and the vertebral venous plexus explain that induce positioning can produce an excessive venous intraoperative bleeding with decreased surgical visibility. Furthermore venous return to the heart decreased resulting in some degree of impaired cardiac output. Hemodynamic disturbances of cerebral or spinal cord bloods flows can occurred.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hemodynamic effects of genu-pectoral position during the surgery of lumbar disk herniation: spinal anesthesia versus general anesthesia]. [腰椎间盘突出症手术中膝胸位的血流动力学影响:脊髓麻醉与全身麻醉]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
M C Becq, M Verdin, B Riegel, P Fesard, V Moinardeau, B Delehaye, P Adnet, R Krivosic-Horber
{"title":"[Hemodynamic effects of genu-pectoral position during the surgery of lumbar disk herniation: spinal anesthesia versus general anesthesia].","authors":"M C Becq,&nbsp;M Verdin,&nbsp;B Riegel,&nbsp;P Fesard,&nbsp;V Moinardeau,&nbsp;B Delehaye,&nbsp;P Adnet,&nbsp;R Krivosic-Horber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spinal anesthesia (SA) for lumbar disk surgery in the genu-pectoral position (GP) has been proposed as an alternative to general anesthesia (GA). This study compares the haemodynamic effects of GP in two groups of patients undergoing either SA (n = 43) or GA (n = 40). Mean arterial pressure (MAP) and heart rate (HR) were recorded before and after GP. MAP and HR were significantly lower in the GA group after GP. We conclude that SA during GP for lumbar disk surgery is haemodynamically well tolerated.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Changes in thoracopulmonary compliance in normal and obese subjects in prone position]. [俯卧位正常与肥胖受试者胸肺顺应性的变化]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
D Mulazzi, P Baratta, E Calappi, A Parma, G Signoroni, P Tomaselli
{"title":"[Changes in thoracopulmonary compliance in normal and obese subjects in prone position].","authors":"D Mulazzi,&nbsp;P Baratta,&nbsp;E Calappi,&nbsp;A Parma,&nbsp;G Signoroni,&nbsp;P Tomaselli","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Anesthesia in surgery for malformative and degenerative cervical spine]. [畸形和退行性颈椎手术麻醉]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
M C Lopin, J L Beal, M Binnert, L Poli
{"title":"[Anesthesia in surgery for malformative and degenerative cervical spine].","authors":"M C Lopin,&nbsp;J L Beal,&nbsp;M Binnert,&nbsp;L Poli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anaesthesia in patients with malformative and degenerative abnormalities of cervical spine poses a number of specific problems. A crucial point is the indispensable evaluation and observation before and during anaesthesia. Somatosensory evoked potentials being used to monitor nervous system pathways at risk during surgical procedures the effect of anaesthetic agents on these parameters are to be well known. Some pathologies are liable to per and postoperative specific risks breeding complications.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"11-3"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18818203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Vascular obstruction of the duodenum. Apropos of 2 cases complicating the surgical treatment of scoliosis. Review of the literature]. 十二指肠的血管阻塞。脊柱侧凸合并手术治疗2例。文献综述]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
J Benkirane, M Lefeuvre, E Guyot, A Leon, C Brodier, L Fallet, P Chauvet, J Rendoing
{"title":"[Vascular obstruction of the duodenum. Apropos of 2 cases complicating the surgical treatment of scoliosis. Review of the literature].","authors":"J Benkirane,&nbsp;M Lefeuvre,&nbsp;E Guyot,&nbsp;A Leon,&nbsp;C Brodier,&nbsp;L Fallet,&nbsp;P Chauvet,&nbsp;J Rendoing","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"45-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Spinal cord diseases and neurological involvement: the clinician's point of view]. [脊髓疾病和神经系统疾病:临床医生的观点]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
P Rousseaux
{"title":"[Spinal cord diseases and neurological involvement: the clinician's point of view].","authors":"P Rousseaux","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"15-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18818204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Lumbar disk herniation with surgical option: general versus local anesthesia. Round table]. 腰椎间盘突出症的手术选择:全身麻醉与局部麻醉。圆桌)。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
B Riegel, F Alibert, M C Becq, I Duckert, R Krivosic-Horber
{"title":"[Lumbar disk herniation with surgical option: general versus local anesthesia. Round table].","authors":"B Riegel,&nbsp;F Alibert,&nbsp;M C Becq,&nbsp;I Duckert,&nbsp;R Krivosic-Horber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lumbar disc hernia is a frequent pathology whose treatment remains essentially surgical. The type of anesthesia can be general anesthesia with intubation and controlled ventilation, both mandatory due to the position, peridural or spinal anesthesia. The usual position is knee-chest position which impairs circulation and ventilation if some precaution are not taken. Spinal anesthesia has been chosen in more than 40% of the patients by Lille CHU Team. This choice is justified by the important level of satisfaction of the patients and the absence of complications due to the anesthesia in a series of 1871 consecutive spinal anesthesia for lumbar disc surgery.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"33-7"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Evaluation of plasma levels of catecholamines, prolactin and cortisol during total intravenous anesthesia with propofol in the surgery of the lumbar spine]. [腰椎手术中异丙酚静脉麻醉期间血浆儿茶酚胺、催乳素和皮质醇水平的评价]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
E Calappi, A Parma, R Massei
{"title":"[Evaluation of plasma levels of catecholamines, prolactin and cortisol during total intravenous anesthesia with propofol in the surgery of the lumbar spine].","authors":"E Calappi,&nbsp;A Parma,&nbsp;R Massei","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Trans-oral approach. Technique and indications]. [Trans-oral方法。技术和适应症]。
Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression Pub Date : 1994-01-01
P Galibert
{"title":"[Trans-oral approach. Technique and indications].","authors":"P Galibert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The trans-oral approach is a well codified and classical technique in neurosurgery. When correctly performed, this procedure gives excellent results in selected indications, such as: mechanical decompression of ondotoïdal vicious callus and more particularly, malformations of the craniovertebral function. This approach is also used for extirpation of C1, C2 and inferior clivus tumors. The complications of this technique are mainly septic, and must be prevented by appropriate pre and post-operative nursing.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"34 Spec No 1 ","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18817169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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