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[Comparative study of recovery in neurosurgery after continuous perfusion of etomidate or propofol]. [神经外科持续灌注依托咪酯与异丙酚后恢复的比较研究]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
T H Brun, C Martin
{"title":"[Comparative study of recovery in neurosurgery after continuous perfusion of etomidate or propofol].","authors":"T H Brun,&nbsp;C Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two groups of patients were studied. Patients in group 1 were given 0.3 mg.kg-1 IV etomidate, 5 micrograms.kg-1 fentanyl and 0.6 mg.kg-1 atracurium for induction. Maintenance was obtained using continuous infusion of etomidate and fentanyl. Patients in group 2 were given propofol for induction and maintenance. Recovery was assessed with three parameters: time to recovery of spontaneous ventilation (SV), time to obey oral order (OO), and time to obey written order (WO). Time to OO and WO were significantly shorter in group 2.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 1","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18676633","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
[Role of midazolam in anesthesia. Recommendations]. 咪达唑仑在麻醉中的作用。建议)。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
M Pinaud
{"title":"[Role of midazolam in anesthesia. Recommendations].","authors":"M Pinaud","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 2","pages":"161-2"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18676637","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
[Physiology of pain in the XVIII century]. [18世纪疼痛的生理学]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
J Lassner
{"title":"[Physiology of pain in the XVIII century].","authors":"J Lassner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 3","pages":"331-5"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18589233","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
[Optimal use of non opioid analgesics]. [非阿片类镇痛药的最佳使用]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
D Fletcher
{"title":"[Optimal use of non opioid analgesics].","authors":"D Fletcher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This review describes the mechanisms of analgesic effect, advantages and risks related to the perioperative use of non steroidal antiinflammatory drugs (NSAID's). The NSAID's should be used as the first analgesic, around the clock, with a rapid onset of the therapy. Their combination with other NSAID's (acetaminophen) or opioids can have an additive analgesic effect and may limit frequent secondary effects as nausea and vomiting. Their potential toxicity must be remembered and the contra indications, maximum doses and duration of treatment have to be respected.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 3","pages":"239-49"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18589417","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
[Optimal use of the administration of morphine derivatives]. [吗啡衍生物的最佳使用]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
A Langlade
{"title":"[Optimal use of the administration of morphine derivatives].","authors":"A Langlade","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the postoperative period, the efficacy of opioid treatment is different among patients. Indeed, an extreme variability exists between patients, concerning their analgesic requirement and their sensibility to opioids. To improve opioid analgesia, some empiric considerations must be observed: 1) Techniques of opioid administration must allow to titrate analgesic requirement. Patient Controlled Analgesia represents a real improvement and should be developed. 2) Occurrence of side effects must be avoided. The combination of different analgesics must be prescribed systematically, if there is no contraindication. 3) Opoid side effects must be appropriately treated, in order to improve the quality of analgesia. These simple measures require regular evaluation of opioid analgesia, and treatment of the side effects.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 3","pages":"251-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18590591","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
[Optimal use of peripheral nerve blocks]. [末梢神经阻滞的最佳应用]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
P Bruelle, R Mangin, L Lalourcey, J J Eledjam
{"title":"[Optimal use of peripheral nerve blocks].","authors":"P Bruelle,&nbsp;R Mangin,&nbsp;L Lalourcey,&nbsp;J J Eledjam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The advantages of regional over general anaesthesia have led to an increased use of peripheral nerve blocks. Among the few risks of regional anaesthesia are those of overdosage, systemic and neural toxicity. Techniques have been proposed to improve the success of peripheral nerve blocks and to avoid nerve damage or systemic toxicity. Nerve stimulator, anatomic landmarks, needles and anaesthetic solutions are discussed.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 3","pages":"259-66"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18590593","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
[Role of midazolam in anesthesia]. 咪达唑仑在麻醉中的作用。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
{"title":"[Role of midazolam in anesthesia].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 2","pages":"103-89"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18674589","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
[Midazolam: induction, co-induction and maintenance]. 【咪达唑仑:诱导、共诱导和维持】。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
X Viviand
{"title":"[Midazolam: induction, co-induction and maintenance].","authors":"X Viviand","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 2","pages":"153-5"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18674599","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
[Infection after long lasting procedure in neurosurgery]. [神经外科长时间手术后的感染]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
E Frebet, D Benetreau, N Boishardy, A Delhumeau, P Menei, P Mercier
{"title":"[Infection after long lasting procedure in neurosurgery].","authors":"E Frebet,&nbsp;D Benetreau,&nbsp;N Boishardy,&nbsp;A Delhumeau,&nbsp;P Menei,&nbsp;P Mercier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective study was performed to appreciate the frequency of infectious complications following long duration neurosurgical procedure with or without antibiotic prophylaxis. Among the 6,702 surgical procedures studied 87 lasted more than 6 hours. The frequency of wound infections of those 87 patients was 13.8% whereas it was only 1.43% for the whole group. There was no significant statistical difference between patients who were treated with antibiotics and those who were not. The high frequency of infection by Klebsiella (25% of the identified germs) was caused by a contamination of the intensive care unit. Duration of the surgical procedure, synthetic material and repetitive procedures are important points to analyse when comparing the different publications. If any antibiotic prophylaxis is to be used, it must be adapted to the microbial environment of each care unit.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 2","pages":"191-4"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18676644","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 intravenous diltiazem after immediate coronary revascularization]. 静脉注射地尔硫卓对冠脉重建术后血流动力学的影响。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
J G Bukowski, A Mattachione, X Moreau, J J Corbeau, C Cottineau, J P Jacob
{"title":"[Hemodynamic effects of intravenous diltiazem after immediate coronary revascularization].","authors":"J G Bukowski,&nbsp;A Mattachione,&nbsp;X Moreau,&nbsp;J J Corbeau,&nbsp;C Cottineau,&nbsp;J P Jacob","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Perioperative spasm of the internal mammary artery (IMA) may occur after coronary artery bypass surgery. Diltiazem is often used to prevent it. We studied the haemodynamic tolerance of this drug just after coronary artery bypass surgery, using an intravenous injection of 0.3 mg.kg-1 in 2 minutes. Fifteen patients were studied and the injection was performed less than one hour after the arrival of the patient in the intensive care unit. A reduction in systemic arterial blood pressure and a negative chronotropic effect was observed. There was no significant modification of cardiac output. Diltiazem used in that context has no myocardial depressant effect.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 2","pages":"195-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18676645","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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