Cahiers d'anesthesiologie最新文献_第6页

[Sufficient autotransfusion with a single-use device in experimental vascular surgery]. 在实验性血管手术中使用一次性装置进行足够的自体输血。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

G Adhoute, M Bennani, J Rigaud, I Juhan, D Lena, D Vanuxem

引用次数: 0

[Massive transfusion in cancer surgery. A study of the survival of 21 patients]. 癌症手术中的大量输血。21例患者的生存研究[j]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

F Montange, B Salm, P Y Godfrin, D Dartois, J Carolus

引用次数: 0

[Analgesia in surgery of the foot. Apropos of 1373 patients]. 足部手术中的镇痛。约1373例患者]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

A Frédéric, Y Bouchon

{"title":"[Analgesia in surgery of the foot. Apropos of 1373 patients].","authors":"A Frédéric, Y Bouchon","doi":"","DOIUrl":"","url":null,"abstract":"This retrospective study concerns 1,373 adult patients who underwent forefoot surgery during 1988-95 under regional anaesthesia by ankle nerve blocks (of posterior tibial nerve systematically and other nerves according to the surgical site). As a rule, plain bupivacaine 0.5% (maximum 40 mL) was used, completed if necessary by lidocaine 1% (a few mL). A nerve stimulator is currently used for posterior tibial blocks. About 50% of indications (such as hallux surgery) require short hospitalization (3 days). A catheter is inserted near to the posterior tibial nerve by the surgeon, allowing postoperative reinjections of 10 mL of bupivacaine 0.25% every 6 hrs by nurses, for 1-2.5 days. Other patients undergoing minor procedures (material removal, cysts, exostosis, etc.) can be operated on a day-care basis, without postoperative analgesic injections. Results were very satisfactory for both patients and surgeons. No general anaesthesia was needed (except after one case of convulsions, likely from accidental injection of a few mL of local anaesthetic and without any sequelae). Five patients complained of temporary paraesthesias, with indication of a posterior tibial neurolysis in one case and complete recovery. Thus ankle blocks appear increasingly to be a satisfactory alternative to general anaesthesia for most surgical procedures on the forefoot, provided that all usual safety conditions are respected and the patient's acceptance of the procedure is obtained.","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"44 2","pages":"115-8"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19734170","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

[Ethylene glycol poisoning. Apropos of a case]. 乙二醇中毒。关于一个案例]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

P Courtin, E Brugière, H Gremaud, P Gassiot, D Magnin

引用次数: 0

[Pneumocephalus: a prognostic factor in head injuries. Results of a retrospective study of 167 patients]. [脑充气:颅脑损伤的预后因素。][167例患者的回顾性研究结果]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

J Squali, Y Amar, K Fikri, C Lazreq, A Sbihi

引用次数: 0

[Protective efficacy of 3 anesthetic methods with reference to surgical stress in children]. [3种麻醉方法对小儿手术应激的保护作用]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

G Ivani, M Vaira, S Fossa, G Mattioli, V Jasonni, P E Caffarena, E Podestà, E Parodi, L Rossi

{"title":"[Protective efficacy of 3 anesthetic methods with reference to surgical stress in children].","authors":"G Ivani, M Vaira, S Fossa, G Mattioli, V Jasonni, P E Caffarena, E Podestà, E Parodi, L Rossi","doi":"","DOIUrl":"","url":null,"abstract":"Hormonal-metabolic stress responses have beyond doubt an effect on morbidity/mortality related to surgery. The present study med to determine which anaesthetic technique could afford the best protection in children, through analysis of the perioperative cortisol, prolactin and beta-endorphin plasma levels. Thirty-six young patients 3-10 years old, ASA I-II, scheduled for hypospadias or vesicoureteral reflux surgery of a duration > 60 min, were randomized into three groups (n = 12). Children of group I were given initially propofol and fentanyl then isoflurane 1%; group 2 received TIVA with propofol and fentanyl, group 3 received initially propofol then an epidural lumbar block with bupivacaine 0.25% (single shot) and continuous propofol i.v. infusion. Cortisol, prolactin and beta-endorphin levels increased significantly in group 1 only. No significant differences were observed between group 2 and 3. Early postoperative analgesia was better in group 3. These data suggest that TIVA and particularly epidural block could afford a better protection against the surgical stress in children submitted to subumbilical operations.","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"44 4","pages":"297-302"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19990878","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

[Monitoring of multiple trauma in an emergency hospital unit]. [医院急诊病房多重创伤的监测]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

A Landais, T Aviles, C Cuvier, K McGee, K N'Guyen

{"title":"[Monitoring of multiple trauma in an emergency hospital unit].","authors":"A Landais, T Aviles, C Cuvier, K McGee, K N'Guyen","doi":"","DOIUrl":"","url":null,"abstract":"In the monitoring of multiple trauma patients in the emergency hospital setting the use of monitors should be graduated. However, the use and interpretation of data from these monitors is becoming increasingly complex and can lead to errors and responses which may not be adopted. Clinical nomination and observation have their limits and the anaesthetist is faced with the added difficulties of interpretation of data from monitors and is pitfalls. The management of the patient is based on this human-machine relationship, which provides the basis for the therapeutic attitude and the treatment which ensues. Basic monitoring comprises a pulse oximeter, a capnograph, an ECG and a blood pressure monitor, 52% of incidents are detected by these instruments; 27% by SpO2, 24% by capnography. The pertinence is 82% for the oximeter when used alone and 55% for the capnography alone, although when the two are used together this increases to 88%. If the blood pressure monitor is added the pertinence increases to 93%, and to 95% if the FiO2 is monitored. The use of monitors of levels of haemoglobin or haematocrit must take into account the important variations in volaemia. The displayed values have a poor predictive value. The second level of monitoring comprises the use of a pulmonary artery catheter. The errors in measurement and interpretation are reviewed and finally, we consider the possible use of FOE transoesophageal echocardiography in the multiple trauma patient.","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"44 4","pages":"347-54"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19992836","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

[Administrative or economic regulation of ambulatory surgery units?]. 流动外科单位的行政或经济管理?

Cahiers d'anesthesiologie Pub Date : 1996-01-01

G Bazin

引用次数: 0

[Monitoring of intracranial pressure]. [颅内压监测]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

F Artru

{"title":"[Monitoring of intracranial pressure].","authors":"F Artru","doi":"","DOIUrl":"","url":null,"abstract":"The use of intraparenchymatous ICP sensor is becoming increasingly popular at the expense of the traditional intraventricular catheter method, in spite of the impossibility, with the former technic, to correct a possible zero drift. The decision to initiate or discontinue ICP monitoring is essentially based upon whether suggestive aspects of raised ICP are or not present on CT-scan. The degree of basal cisterns effacement is particularly informative. The same data from successive CT-scans are used to check the validity of the monitoring. Predefining critical levels of ICP and cerebral perfusion pressure (CPP) allows to establish practical guide-lines for treatment. Cerebral ischemia is considered very likely when ICP rises above 30 mmHg. Regarding CPP, the therapeutical goal is to avoid its reduction under the critical level of 60-80 mmHg. As these thresholds vary with the patients age and the type of lesion, a parallel evaluation of cerebral ischemia by other methods is mandatory. Transcranial doppler allows an easy detection of critical reduction of arterial flow. However, in case of flow hypervelocity, interpretation needs measurement of absolute cerebral blood flow values. Cerebral venous oxygen saturation monitoring, at the level of the jugular golf, shows desaturation episodes indicative of cerebral ischemia. Blood sampling for determination of arterial and jugular venous lactate concentrations allows calculation of the lactate oxygen index, a practical correlate of the degree of cerebral ischemia. ICP measurement alone is of limited value to understand the cerebral hemodynamical and metabolical situation in severe brain injury. Preceding the rise of ICP, there exists a compensation phase during which a progressive decrease of intracranial compliance is the important event. Even more earlier, posttraumatic cellular metabolic dysfunctions are to-day objectives for a neurochemical monitoring. Therefore a special technical and human environment has became mandatory to take a real benefit from ICP monitoring.","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"44 1","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19735256","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

[Factors promoting incidents during laparoscopic surgery in pediatrics]. [儿科腹腔镜手术中发生事故的因素]。

Cahiers d'anesthesiologie Pub Date : 1996-01-01

M Sfez, F Veyckemans, C Lejus, C Ricard, O Raux, C Hayem, P Roure

引用次数: 0