{"title":"[Factors changing the length of analgesia in spinal anesthesia].","authors":"D Mignonsin, M Kane, A Bondurand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>So as to determine the effects of some factors on the duration of bupivacaine spinal anaesthesia, a prospective controlled study was carried out on 152 ASA I or II patients. They were randomly allocated to six groups. The patients of group I were given 4 ml of 0.5% bupivacaine at 27 degrees C. The patients of group II were given 4 ml of a mixture including 3 ml of 0.5% bupivacaine, 1 ml fentanyl in 1 ml of 10% dextrose solution. The group III was given 4 ml of a mixture including 3 ml of 0.5% bupivacaine, 0.20 mg adrenaline. The group IV was given 4 ml of a mixture including 3 ml of 0.5% bupivacaine, 0.15 mg clonidine. The patients of group V were given 4 ml of 0.5% bupivacaine at 20 degrees C and those of group VI were given 4 ml of 0.5% bupivacaine at 5 degrees C. There is significant difference between regression times of sensory analgesia of group II and group I, group IV and group III, group VI and group V. The choice of product to lengthen analgesia in spinal anaesthesia depends on the use of each anaesthesist, the characteristic of patients and the duration of surgery.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 4","pages":"185-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12514982","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}
{"title":"[Respiratory and cardiac manifestations of anesthesia].","authors":"F Barale","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":"33 Spec No 1 ","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12482213","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}
{"title":"[Controlled hypotension? Watch the capnograph closely!].","authors":"J Weiller-Racamier, A Juniot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the surgery of the middle ear, a profound general anaesthesia associated to the monitoring of arterial hypotension may obtain a fiel of operation free of any blood. The patient surveillance needs the modern techniques of monitoring. SaO2 is altered only for severe falls of mean arterial pressure. PetCO2 reflects three factors: the cellular metabolism that is stable under general anaesthesia, the ventilatory conditions which are controlled and haemodynamic conditions. The cellular metabolism and the ventilatory being stable, PetCO2 modifications reflect mean arterial pressure variations. We have observed minimal falls of PetCO2 (2-3 mmHg) accompanying falls of mean arterial pressure. Monitoring mean arterial pressure every 5 minutes neglects periods of time. On the contrary capnography allows a constant haemodynamic survey. The capnography seems to be a precious help during the technique of controlled arterial hypotension.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 1 ","pages":"58-9"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12482216","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}
{"title":"[Sterilization of biocompatible materials: which method to choose?].","authors":"D Goullet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sterilization of biomaterials, in hospitals, must be considered as the re-sterilization (and not reuse) of devices: prostheses, implants, catheters... This practice is not allowed, according to the circular of may 14 th, 1986; however it is a necessity in various cases. It must be realised with an extreme care, after evaluation of the different methods of sterilization: steam, dry-heat, ethylene oxide, formaldehyde or ionizing radiations and of their effects on the behaviour of the biomaterial.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 3 ","pages":"121-3"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12513824","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}
B Albat, I Serre, F Pratlong, A Thevenet, P Baldet
{"title":"[Opportunistic toxoplasmosis in a case of heart transplantation].","authors":"B Albat, I Serre, F Pratlong, A Thevenet, P Baldet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infection with toxoplasma gondii is a serious complication in the immunocompromised heart transplant recipient. We reported a case of toxoplasmosis in a seronegative heart transplant recipient detected on endomyocardial biopsy. This patient was treated with oral pyrimethamine and sulphadiazine. Because primary toxoplasmosis occurred in seronegative patients receiving hearts from sero-positive donors, it is necessary to screen both recipients and donors for T. gondii. Prophylaxis with pyrimethamine in sero-negative patients transplanted with a heart from sero-positive donors confers considerable benefit.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 2 ","pages":"103-4"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12514177","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}
J P Lançon, M Pillet, C Beaufils-Leblanc, B Caillard
{"title":"[Hemodynamic complications during the recovery period after anesthesia].","authors":"J P Lançon, M Pillet, C Beaufils-Leblanc, B Caillard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the postoperative period the alterations of blood pressure are the main hemodynamic complications. Hypotension or hypertension may compromise the coronary circulation and increase the metabolic demand of the myocardium. Pulmonary oedema is the most frequent manifestation of heart failure. The aim of its treatment is to increase myocardial contractility and decrease the metabolic demand. Myocardial ischemia is mostly silent and is an important correlate of adverse cardiac outcomes. The treatment of these hemodynamic events starts during the peroperative period by prevention of their risk factors.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 1 ","pages":"52-4"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12482214","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}
B Albat, E Picard, D Boulfroy, P Trinh Duc, P Wintrebert, A Thevenet
{"title":"[Sterno-mediastinitis after heart transplantation. An easy treatment: irrigation-lavage].","authors":"B Albat, E Picard, D Boulfroy, P Trinh Duc, P Wintrebert, A Thevenet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After cardiac transplantation bacterial mediastinitis is a severe early complication. Between 1986 and 1990, we performed 49 cardiac transplantations. Six patients developed purulent mediastinitis. Treatment consisted in surgical debridement, local irrigation, drainage and systemic antibiotics. No patient died of this bacterial mediastinitis. Low cardiac output, re-sternotomy for bleeding, prolonged artificial ventilation were significantly higher in the group with sternal infection. Closed tube irrigation is a simple and efficient treatment of mediastinitis.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 3 ","pages":"160-2"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12512478","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}
B Pottecher, R Duringer, A Fetter, C Guldenfels, R Bihi, T Pottecher, M L Goetz, M Bientz
{"title":"[Does automatized disinfection of traps by chlorine reduce water related contamination?].","authors":"B Pottecher, R Duringer, A Fetter, C Guldenfels, R Bihi, T Pottecher, M L Goetz, M Bientz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sanitary U bends are very contaminated places from a microbiological point of view. They may even be dangerous for immunocompromised patients. Although daily chloride disinfection of U-bends is ineffective, it seems to work when performed after each use of sanitary devices. On line disinfection reduces not only U-bend bacteriological contamination but also all surrounding surfaces.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 2 ","pages":"91-3"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12513820","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}
{"title":"[Organ, tissue transplantation, prosthetic surgery and dental focal infections: attitude of the dental surgeon].","authors":"J P Artis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rational use of oral surgery therapy and techniques allows the preservation of total, or part of the infected dental organ. With patients who are about be grafted or undergo prosthetic surgery, the oral state is of prime importance and requires special attention. Getting such patients ready for operation must take into consideration the pathology for which they have been admitted to hospital. Therefore the length of oral care fully justifies its priority in the patient's preparation previously to surgery.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 3 ","pages":"157-9"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12512477","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}
{"title":"[General rules of infection prevention in organ transplantation, bone marrow transplantation and prosthetic surgery].","authors":"M Bientz, S Gayet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>General rules to prevent are categorized into four classes. The first one concern patient before operation: well-balanced nourishment latent infections treatment, digestive tract micro flora elimination, immunizations, antiseptic gargles, skin antisepsis. The second one concern operation: previous fumigation, very high efficiency filtration and laminar flow air, transplant care, antibioprophylaxis, operating theatre discipline. The third one concern post-operation days: cubicle initial fumigation, high efficiency filtration and positive pressure air, strict protective insulation, single-use things, controlled food, specific anti viral prevention, catheters and tubes removal or replacement. The fourth one concern going home patient: well-balanced nourishment, body hygiene and hands washing, infected people shunning, gardening and cleaning proscribing, medical follow-up and latent infections systematic detection.</p>","PeriodicalId":7441,"journal":{"name":"Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression","volume":"33 Spec No 2 ","pages":"73-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12514180","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}