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[Obstetrical epidural analgesia: an epidemiological in Bourgogne and Franche-Comté 1993]. [产科硬膜外镇痛:Bourgogne和franche - com2009,1993]。
Cahiers d'anesthesiologie Pub Date : 1996-01-01
P Vattaï, P Koeberlé, C Douge, J Lujic, C Pequegnot-Jeannin, D Riethmuller, R Maillet, F Barale
{"title":"[Obstetrical epidural analgesia: an epidemiological in Bourgogne and Franche-Comté 1993].","authors":"P Vattaï,&nbsp;P Koeberlé,&nbsp;C Douge,&nbsp;J Lujic,&nbsp;C Pequegnot-Jeannin,&nbsp;D Riethmuller,&nbsp;R Maillet,&nbsp;F Barale","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many publications report the number of epidural analgesias carried out for the last years in English-speaking countries. On the other hand, very little information exists about the incidence of obstetrical epidural analgesia performed in South and Central Europe, particularly in France. A retrospective study within the regions of Bourgogne and Franche-Comté was carried out for the year 1993 firstly, to determine the number of obstetrical epidural analgesias performed and the drugs used; and secondly, to describe the organization and the problems encountered. The result of this study leads to one major question: what is the best type of organization in order to guarantee the highest safety, given the increasing demand for epidural analgesia in obstetrics?</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"44 3","pages":"207-13"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19964825","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
[Abdominal syndromes and analgesia]. 【腹部综合征与镇痛】。
Cahiers d'anesthesiologie Pub Date : 1996-01-01
C Camus-Kerebel, Y Malledant, A Joly
{"title":"[Abdominal syndromes and analgesia].","authors":"C Camus-Kerebel,&nbsp;Y Malledant,&nbsp;A Joly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite physiological advances and recent progress in pain relief, early analgesia for patients with acute abdominal pain is not a conventional endpoint. In clinical practice, priority is often given to diagnosis and management decisions. There are few controlled trials to settle the issue and opinions are still divided. recent studies suggest than early and effective analgesia in acute abdomen does not interfere with diagnosis, and even facilitates initial examination. Various modes of analgesia can be considered.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"44 4","pages":"335-9"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19992834","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
[Pain and tourniquet in orthopedic surgery]. 骨科手术中的疼痛和止血带。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
J P Estèbe, C Kerebel, C Brice, A Lenaoures
{"title":"[Pain and tourniquet in orthopedic surgery].","authors":"J P Estèbe,&nbsp;C Kerebel,&nbsp;C Brice,&nbsp;A Lenaoures","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of a pneumatic tourniquet to provide a bloodless field in orthopedic surgery is often complicated by tourniquet pain. The mechanism of this pain remains incompletely understood, but it is probably multifactorial. Nerve compression is a common etiologic feature. The use of local anaesthetics may be considered the best choice for avoiding tourniquet pain. Superficial (skin) compression and deep components compression like blood vessels and muscles can both induce tourniquet pain. Central nervous system can also interfere. Release of tourniquet can increase the pain by post-ischaemic oedema due to ischaemia and reperfusion injury.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 6","pages":"573-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19718356","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
[Patient-controlled analgesia in cancer pain: practical aspects]. 癌性疼痛患者自控镇痛:实用方面
Cahiers d'anesthesiologie Pub Date : 1995-01-01
F Lakdja, F Parienté, P Cros, V Dutin, A Lobera, D Monnin, N Roubault, C Thonnier
{"title":"[Patient-controlled analgesia in cancer pain: practical aspects].","authors":"F Lakdja,&nbsp;F Parienté,&nbsp;P Cros,&nbsp;V Dutin,&nbsp;A Lobera,&nbsp;D Monnin,&nbsp;N Roubault,&nbsp;C Thonnier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Allowing a suffering patient with cancer to control his pain is a challenge that numerous medical teams intend to take up. Although the best treatment is the etiologic one, in many situations the symptomatic and adjuvant therapies are both indispensable. Among them, the patient controlled analgesia (PCA) is a concept referring to the management of the pain, but also to the administration of some analgesic drugs. Even with genuine advantages the limits of the PCA do exist and need to be well known. PCA is not limited to palliative treatment; it can be used in many circonstances during each evolutionary step of the cancer, temporarily or for longer periods, at the hospital and at home as well. All patients disposing of such an equiment could determine their own best level of analgesia, at the good time, depending upon the temporal variability of the pain and its previsibility or not. The availability and the pedagogic concern of the members of the team, the link between the patient and his family, the involvement of both the regular general practioner and the \"algologic\" team are essential to maintain the best effects of this method.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 6","pages":"583-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19718358","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
[Management of neurologic manifestations after obstetrical epidural anesthesia]. 产科硬膜外麻醉后神经系统症状的处理。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
S Frangié, D Beague, R Krivosic-Horber
{"title":"[Management of neurologic manifestations after obstetrical epidural anesthesia].","authors":"S Frangié,&nbsp;D Beague,&nbsp;R Krivosic-Horber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Epidural anaesthesia is commonly used in obstetrics (70% of all deliveries in the maternity units of Lille University Hospital). Four cases are reported: headache followed by diplopia and amaurosis, delayed lumbosacral paraesthesia, early paraesthesia of the left lower limb, severe cephalalgia. Etiological analysis allowed to find the causes of these disorders and to exclude any anaesthesia responsibility, moreover permitting adapted treatments. The medicolegal aspect must be emphasized and also the need of an extensive medical investigation to find out the aetiology and propose an appropriate management.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 5","pages":"455-60"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19544675","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
[Epidural anesthesia and esophageal atresia. Apropos of a case]. 硬膜外麻醉与食管闭锁。关于一个案例]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
P Courrèges, F Poddevin, D Lecoutre, R Bayart
{"title":"[Epidural anesthesia and esophageal atresia. Apropos of a case].","authors":"P Courrèges,&nbsp;F Poddevin,&nbsp;D Lecoutre,&nbsp;R Bayart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report the good results of a thoracic epidural analgesia for oesophageal atresia repair in a 3-day old girl. Surgery was performed under light general anaesthesia combined with a single epidural injection of bupivacaine 0.25% (0.5 ml.kg-1) with epinephrine through a 19 G catheter (T7 space, descending to T5). During the three following days, a continuous epidural infusion was used (0.2 ml.kg-1.h-1 bupivacaine 0.125%). Intraoperative analgesia and postoperative analgesia were adequate, the latter being assessed by the Barrier-Amiel-Tison pain scale. Thus heavy postoperative care could be avoided, namely mechanical ventilation. Recovery was uneventful.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 5","pages":"471-4"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19544678","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
[Traumatic emergencies and hemostasis]. [创伤急救和止血]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
C M Samama
{"title":"[Traumatic emergencies and hemostasis].","authors":"C M Samama","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The occurrence of bleeding in trauma patients is a life-threatening problem which can be explained by different mechanisms. The infusion of cristalloids, colloids, packed red blood cells, or even fresh frozen plasma is very rarely responsible for bleeding but it can contribute to dilute the patient's platelet pool, and especially dilutional thrombocytopenia is the first cause of bleeding after massive transfusion. Blood coagulation factor activity is decreased after a massive fluid infusion is performed but it has to reach a dramatically low plasma level in order to induce troubles. It has to be emphasized that colloids and especially dextrans can impair the patient's haemostasis by interfering the same way with the factor VIII-von Willebrand complex and fibrin formation. Gelatins do not interfere with platelets or with the coagulation system. A third mechanism that can explain the strong link between haemostasis and haemodilution is the haemostatic role of red cells. It has been shown in experimental models that red cells play a definite function in promoting platelet accretion on the damaged vessel surface. Higher values of haematocrit (Ht) are responsible for a better platelet adhesion On the opposite, platelet adhesion decreases when low values of Ht (< 20%) are reached. Hypothermia can also impair platelet function and worsen the bleeding. A simplified monitoring of haemostasis can be proposed with platelet count, whole blood coagulation clotting time, immediately available activated partial thromboplastin time and prothrombin time with bedside portable monitors and thromboelastography. Haematocrit and body temperature have to be monitored as well.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 5","pages":"479-82"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19544681","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
[Capnography in pediatric anesthesia: pitfalls and applications]. 儿科麻醉中的二氧化碳造影:陷阱和应用。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
M Dubreuil
{"title":"[Capnography in pediatric anesthesia: pitfalls and applications].","authors":"M Dubreuil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Expired CO2 analysis is an important area of anaesthetic monitoring. It ranges from ventilator connection to the estimation of alveolar dead space. In paediatric anaesthesia, end tidal CO2 measurement and analysis as well as PaCO2 estimation are subject to a rather large number of mistakes. Confrontation between the technical specificities of CO2 monitors and the anatomical and physiological distinctive characteristics of the paediatric patient is mainly responsible for the interpretation difficulties encountered. Nevertheless capnography remains fundamental for paediatric ventilation monitoring.</p>","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 1","pages":"61-5"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18674581","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
[Sedation: definition and main pharmacological agents]. 【镇静:定义及主要药理作用】。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
E Viel, J J Eledjam
{"title":"[Sedation: definition and main pharmacological agents].","authors":"E Viel,&nbsp;J J Eledjam","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 2","pages":"107-12"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18674591","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
[Sedation for diagnostic and therapeutic procedures in urology]. [镇静在泌尿外科诊断和治疗中的应用]。
Cahiers d'anesthesiologie Pub Date : 1995-01-01
A Bénichou, P Bruelle
{"title":"[Sedation for diagnostic and therapeutic procedures in urology].","authors":"A Bénichou,&nbsp;P Bruelle","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77055,"journal":{"name":"Cahiers d'anesthesiologie","volume":"43 2","pages":"119-22"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18674593","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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