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Annales de l'anesthesiologie francaise最新文献

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[Prognostic importance of skin tests in high-risk patients hospitalized in an intensive care unit]. [皮肤试验对重症监护病房高危患者预后的重要性]。
Annales de l'anesthesiologie francaise Pub Date : 1981-01-01
G François, M Alazia, P Long, M Blanc, D Bernard
{"title":"[Prognostic importance of skin tests in high-risk patients hospitalized in an intensive care unit].","authors":"G François,&nbsp;M Alazia,&nbsp;P Long,&nbsp;M Blanc,&nbsp;D Bernard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report involves the study of skin test carried out using five antigens (tuberculin, candidin, -haemolytic streptococcus, staphylococcus albus, pertussis bacillus) in 33 patients hospitalised in a polyvalent intensive care unit with two criteria of inclusion:--associated excretion of 20 g of nitrogen or more per hour;--severe infectious complications (either pneumonia or septicaemia). Three patient populations were found: true anergism (all skin tests negative), relative anergism (one test only positive) and reactive (at least two tests positive). Results were analysed at two levels. With regard to the value of the tests: the use of candidin or of haemolytic streptococcus alone would have sufficed to classify the patients within the same groups with two exceptions. Secondly, from a prognostic standpoint, the study confirmed data in the literature. There was a significant between the anergic and reactive groups in terms of survival. This applied both to tests performed at the time of admission of the patients as well as those repeated one week later.</p>","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 3","pages":"265-9"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17183789","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
[Immunity in tetanus]. [破伤风的免疫力]。
Annales de l'anesthesiologie francaise Pub Date : 1981-01-01
P Daoudal, A Boillot, P Hervé, G Couetdic, B Stimmesse, M Leconte, F Barale
{"title":"[Immunity in tetanus].","authors":"P Daoudal,&nbsp;A Boillot,&nbsp;P Hervé,&nbsp;G Couetdic,&nbsp;B Stimmesse,&nbsp;M Leconte,&nbsp;F Barale","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Among twenty six patients who have got tetanus the movement of the IgG, IgA, IgM, the serum complement, the number of B end T lymphocytes do not change in a significant way during the illness. There is no abnormally that could be considered as a consequence or a favorable factor of tetanus. In a group of patients being vaccinated against tetanus it has been given evidence that the specific antibodies develop much later than in a group of non vaccinated blood givers. Such an abnormal response can be found also in a third group of individuals without tetanus but whose ages in the average are comparable to these of the patients (69 years old). Thus, it seems not to be connected with tetanus itself but with the old ages of the patients.</p>","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 3","pages":"241-4"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17183856","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
[Comparative study of sequential analgesic anesthesia (SAA) with continuous-infusion analgesia by fentanyl]. [序贯镇痛麻醉(SAA)与芬太尼持续输注镇痛的比较研究]。
Annales de l'anesthesiologie francaise Pub Date : 1981-01-01
K Rifat, D Morel, Z Gamulin, G Szappanyos
{"title":"[Comparative study of sequential analgesic anesthesia (SAA) with continuous-infusion analgesia by fentanyl].","authors":"K Rifat,&nbsp;D Morel,&nbsp;Z Gamulin,&nbsp;G Szappanyos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A group of elderly (mean age: 75 years) patients undergoing a prothetic on the hip under analgesic anaesthesia using fentanyl by continuous infusion (7 micrograms.kg.h(-1)) was compared with a similar group receiving sequential analgesic anaesthesia using fentanyl (25 micrograms.kg as a bolus then 7 micrograms.kg(-1).2030mins(-1)). Comparison of the results obtained revealed a variation in mean cardiocirculatory parameters which was less marked in the group receiving fentanyl by infusion than in the group receiving it sequentially. The higher doses used in the sequential analgesia group led in the majority of cases to severe respiratory depression requiring its reversal by an antagonist or postoperative ventilatory assistance, whilst the use of fentanyl by infusion made it possible to reduce total doses of the drug and ensure adequate spontaneous respiration at the end of the operation.</p>","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 4","pages":"322-8"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17186254","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
[Ventilatory distribution and pulmonary perfusion during artificial ventilation]. [人工通气时通气分布与肺灌注]。
Annales de l'anesthesiologie francaise Pub Date : 1981-01-01
A Harf, M Meignan, F Lemaire, J L Bourgain
{"title":"[Ventilatory distribution and pulmonary perfusion during artificial ventilation].","authors":"A Harf,&nbsp;M Meignan,&nbsp;F Lemaire,&nbsp;J L Bourgain","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 5","pages":"491-4"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17189948","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
[Effects of assisted ventilation on cerebral circulation and intracranial pressure]. 辅助通气对脑循环和颅内压的影响。
Annales de l'anesthesiologie francaise Pub Date : 1981-01-01
P Gajdos, A Barois, M Goulon
{"title":"[Effects of assisted ventilation on cerebral circulation and intracranial pressure].","authors":"P Gajdos,&nbsp;A Barois,&nbsp;M Goulon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 5","pages":"477-82"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17189945","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
[Postoperative gas gangrene. Apropos of 22 cases]. 术后气性坏疽。[约22例]。
Annales de l'anesthesiologie francaise Pub Date : 1981-01-01
J P Delalande, M Perramant, R L Tanguy, A Michaud, J P Egreteau
{"title":"[Postoperative gas gangrene. Apropos of 22 cases].","authors":"J P Delalande,&nbsp;M Perramant,&nbsp;R L Tanguy,&nbsp;A Michaud,&nbsp;J P Egreteau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report twenty two cases of post-operative gas gangrene. In the series studied mortality was 40.9 p. 100, independent of age and sex. Rapidly progressive forms were the most severe. The delay before effective treatment was prescribed influenced prognosis. In clinical terms, shock and associated renal insufficiency were grave, as well as a picture of respiratory distress which led, in certain cases, to contra-indication of one of the therapeutic possibilities, i.e. that of hyperbaric oxygen. Responsible organisms could be isolated in nineteen cases from local samples. There was a marked predominance (15 cases) of clostridium perfringens. Contamination with aerobic flora was common. Examination to assess favourizing circumstances led essentially to a conclusion of the role of microbial contamination, ischemia, broad spectrum antibiotics, absence of appropriate antibiotics and underlying immuno-depression. Treatment was based in the majority of cases on the triple combination of antibiotics, surgery and hyperbaric oxygen, as well as the correction of any general systemic disorders. Mortality was markedly reduced (31 p. 100) in patients receiving complete and early treatment. The gravity and recrudescence of disorders due to anaerobic organisms lead the authors to review current therapeutic possibilities. Appropriate treatment should be prescribed in all situations where an infection due to anaerobic organisms is feared, and should cover the risk of clostridial infection (penicillin 200,000 mu/kg/24 h) as well as the risk of bacteroides (metronidazole 25 mg/kg/24 h). Curative treatment should be prescribed, even in the absence of bacteriological proof, on the basis of presumptive clinical evidence, this being a true emergency which should not be delayed under any circumstances.</p>","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 4","pages":"351-8"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17186258","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
[Anesthesia and recovery in surgery for sequelae of cleft lip, maxilla and palate in adults]. 成人唇腭裂后遗症的手术麻醉与恢复[j]。
Annales de l'anesthesiologie francaise Pub Date : 1981-01-01
M Kurtz, J C Lefevre
{"title":"[Anesthesia and recovery in surgery for sequelae of cleft lip, maxilla and palate in adults].","authors":"M Kurtz,&nbsp;J C Lefevre","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"22 6","pages":"556-60"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17191227","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
[Physiological basis of enteral nutrition]. 【肠内营养的生理基础】。
Annales de l'anesthesiologie francaise Pub Date : 1980-01-01
M J Treffot, J P Igual
{"title":"[Physiological basis of enteral nutrition].","authors":"M J Treffot,&nbsp;J P Igual","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors discuss the various recent discoveries and fundamental data on absorption from the digestive tube and the digestive hormones. The practical applications of these data in oral feeding are underlined.</p>","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"21 1","pages":"5-20"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17175916","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
[Enteral nutrition by tube in burn patients]. [烧伤病人的肠内营养]。
Annales de l'anesthesiologie francaise Pub Date : 1980-01-01
J C Manelli, D Palayret, M Garabedian, P Kiegel, M C Blanc
{"title":"[Enteral nutrition by tube in burn patients].","authors":"J C Manelli,&nbsp;D Palayret,&nbsp;M Garabedian,&nbsp;P Kiegel,&nbsp;M C Blanc","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report a year's experience off artificial feeding (A.F.) in the Regional Burns Centre of Marseille. 28 patients have benefited from an A.F. of longer than 10 days. It consisted of four cases of parenteral feeding, six cases of enteric feeding and eighteen cases of combined parenteral and enteric feeding. The efficiency of the techniques of A.F. is demonstrated by the results: a weight loss greater than 10% was observed in only three patients. However, the phenomena of digestive intolerance in this type of patient is a significant limiting factor in tubal feeding.</p>","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"21 1","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17175918","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
[Comparison of two E.E.C. baths by study of the oncotic pressure-pulmonary artery pressure gradient]. [两种脑电图浴的肿瘤压-肺动脉压梯度比较]。
Annales de l'anesthesiologie francaise Pub Date : 1980-01-01
J D'Enfert, J C Mathieu-Daudé, D Grolleau, M Saussine, M Allien, P A Chaptal, J du Cailar
{"title":"[Comparison of two E.E.C. baths by study of the oncotic pressure-pulmonary artery pressure gradient].","authors":"J D'Enfert,&nbsp;J C Mathieu-Daudé,&nbsp;D Grolleau,&nbsp;M Saussine,&nbsp;M Allien,&nbsp;P A Chaptal,&nbsp;J du Cailar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Variations in oncotic pressure-pulmonary artery diastolic pressure gradient and in intrapulmonary shunt were studied in two groups of patients undergoing surgery with extracorporeal circulation for aortocoronary bypass of excision of an aneurysm. The two groups, differed only in terms of the E.C.C. bath (Group A: Ringer Lactate; Group B: DDextran 60,000). The effects of E.C.C. on these parameters were as follows: - decrease in both groups in the gradient (OP-PAP) (respectively P < 0.001 and P < 0.01) but with a more marked decrease in group A than in group B (P < 0.05) with non-negativisation of the gradient in that group; - non-significant variations in Qs/Qt in both groups without any correlation with gradient (OP-PAP). The onset of pulmonary oedema associated with a decrease in gradient (OP-PAP) leads to the suggestion of the use of Dextrans in pathological situations where OP is low or PAP high and all the more so when both of these factors are present.</p>","PeriodicalId":8081,"journal":{"name":"Annales de l'anesthesiologie francaise","volume":"21 5","pages":"535-44"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17176449","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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