Annales de l'anesthesiologie francaise最新文献_第6页

[Value of intravenous nitroglycerin in hypertension after extracorporeal circulation]. [体外循环后静脉注射硝酸甘油在高血压中的应用价值]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

J Ellie, P Pugliese, A Castro-Cells, A Chauve, F Fontan

{"title":"[Value of intravenous nitroglycerin in hypertension after extracorporeal circulation].","authors":"J Ellie, P Pugliese, A Castro-Cells, A Chauve, F Fontan","doi":"","DOIUrl":"","url":null,"abstract":"The authors compare the haemodynamic effects of intravenous nitroglycerin (IV TNT) in 14 patients developing hypertension (mean blood pressure greater than 90 mmHg) and in seven normotensive patients (70 less than mean blood pressure less than 90 mmHg) after cardiac surgery with extracorporeal circulation (ECC). TNT was administered at doses of 0.5, 1, 2 microgram.kg-1.min-1 then 2 microgram.kg-1.min-1 with the association of vascular filling in order to restore right and left arterial pressures to their initial values. Various haemodynamic parameters were measured or calculated. The results obtained: in the hypertensive patients, at the low dose (0.5 microgram.kg-1.min-1) a prevalent venodilatory action was noted: RAP: 7.64 +/- 2.76 p less than 0.05; LAP: 9.07 +/- 3.19 p less than 0.05; at the middle dose (1 microgram.mg-1.min-1) venodilation continued resulting in a fall in BP 95.28 +/- 26.11 p less than 0.01 and above all in Cl: 2.28 +/- 0.36 p less than 0.01; at the maximum dose used, the action of TNT affected both the venous and arteriolar sector causing a major fall in BP: 89.64 +/- 23.88 p less than 0.001, in Cl: 2.29 +/- 0.33 p less than 0.01 and above all RVSI: 19.94 +/- 6.24 p less than 0.05. The association of vascular filling led to an increase in RAP and LAP (p = NS), Cl (p = NS) whilst BP remained low: 92.78 +/- 17.56 p less than 0.001 and also RVSI: 18.12 +/- 4.44 p less than 0.01. In the normotensive patients the administration of TNT, whatever the dose used, did not cause any significant changes (p = NS). In conclusion, the authors emphasise the value of the use of TNT in postoperative hypertensive states, in particular when associated with myocardial ischaemia.","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 1","pages":"41-7"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17181184","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

[General concepts of pharmacokinetics]. [药代动力学的一般概念]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

M Valli, B Bruguerolle, P Bouyard

引用次数: 0

[General anesthesia in the patient presenting with respiratory insufficiency]. [以呼吸功能不全为表现的病人的全身麻醉]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

M Gemperle, P M Suter

引用次数: 0

[Midazolam in preoperative sleep]. [术前睡眠用咪达唑仑]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

N Cadi, Y Jullien, O Griffe, J du Cailar

引用次数: 0

[Peroperative plasma catecholamine levels during cardiovascular surgery]. [心血管手术中血浆儿茶酚胺水平]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

B Caillard, J Klepping, J C Guilland, C Coulon, R Jaboeuf, M Freysz, M David

引用次数: 0

[Management of a multi-injured patient with severe closed chest injuries]. [1例严重闭合性胸外伤多伤患者的处理]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

J Latarjet

引用次数: 0

[Is the use of lidocaine in spray form permissible during intubation?]. [是否允许在插管期间使用喷雾形式的利多卡因?]

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

C Granthil, F Dubouloz

引用次数: 0

[Occult intrapulmonary hemorrhage caused by anticoagulants]. [抗凝剂引起的隐蔽性肺内出血]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

C Granthil, C Colavolpe, M Houvenaeghel, G François

{"title":"[Occult intrapulmonary hemorrhage caused by anticoagulants].","authors":"C Granthil, C Colavolpe, M Houvenaeghel, G François","doi":"","DOIUrl":"","url":null,"abstract":"Intrapulmonary occult bleeding is a serious complication of anticoagulants. Diagnostic difficulties are such that this complication is rarely described: 8 cases in the literature. The authors report two new cases. In both of these patients oral anticoagulant therapy resulted in a severe haemorrhagic syndrome on a clinical (melaena and/or epistaxis) and laboratory (haemoglobin less than 9 g/100 ml and prothrombin time less than 10 p. 100) basis. After a period of 24 to 48 hours, an acute respiratory distress syndrome developed. There was dyspnoea without major haemoptysis, a hypoxia/hypercapnia syndrome and, by X-ray, the rapid development of a diffuse micronodular miliary picture. The diagnosis of intrapulmonary occult bleeding was based upon fibroscopy with bronchoalveolar lavage (BAL) showing the pathological presence of large numbers of alveolar siderophages. However, the worsening of hypoxia brought about by bronchoalveolar lavage is such that careful consideration must be taken before the technique is used. Intrapulmonary occult bleeding must therefore be borne in mind in the presence of an imbalance in anticoagulant treatment complicated by respiratory distress and a reticulonodular radiological appearance.","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 1","pages":"53-6"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17181186","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

[Cutaneous delayed hypersensitivity in a French reference population using the cell-mediated immunity multitest device]. [使用细胞介导免疫多重测试装置的法国参考人群皮肤延迟性超敏反应]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

G Biron, M Roumiantzeff, N Ajjan, C Richard, G Tixier, B Serrou

引用次数: 0

[Cholinergic transmission of nerve inflow. Its role in the organization of the nervous system]. 神经流入的胆碱能传递。它在神经系统组织中的作用]。

Annales de l'anesthesiologie francaise Pub Date : 1981-01-01

G Boulard, G Simonnet, B Bioulac

引用次数: 0