Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 1996
[Role of albumin in pulmonary edema and septic shock, plasma volume expansion excluded].
Patients with septic shock deserve a global approach. Intravascular volume loading is part of the treatment. ⋯ Moreover, hydroxyethylstarch could have promising properties in case of increased capillary permeability. In summary and in agreement with the North American consensus conference, albumin should not be recommended for the treatment of septic shock, whether associated with non cardiogenic pulmonary oedema or not.
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Ann Fr Anesth Reanim · Jan 1996
Practice Guideline Guideline[Difficult intubation. French Society of Anesthesia and Intensive Care. A collective expertise].
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Ann Fr Anesth Reanim · Jan 1996
Case Reports Comparative Study Clinical Trial Controlled Clinical Trial[Preoperative hemodilution by erythrocytapheresis with homologous blood saving in total hip arthroplasty].
To compare three techniques for decreasing homologous blood requirements in total hip arthroplasty (THA), including preoperative autologous donation (PAD), preoperative acute normovolaemic haemodilution with erythrocytapheresis (erythro) and intraoperative normovolaemic haemodilution (haemo). ⋯ In THA, PAD is obviously the best technique to avoid homologous blood transfusion. However, when PAD is not feasible, removal of blood prior to surgery does not decrease requirements of homologous blood, as intraoperative blood loss is higher. Our results strongly question the use of major haemodilution during a surgical procedure exposing a major blood loss.
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Ann Fr Anesth Reanim · Jan 1996
Randomized Controlled Trial Comparative Study Clinical Trial[Effects of different loading solutions on plasma osmolality].
As hydratation of the normal brain is much more dictated by osmotic gradients than by hydrostatic or oncotic pressures, this study aimed to compare the effect of the infusion of currently used volume loading solutions on plasma osmolality. ⋯ Both normal saline and hydroxyethylstarch 6% maintain plasma osmolality, whereas Ringer lactate tends to decrease it. For that reason normal saline and hetastarch 6% but not lactated Ringer's solution, may be administered in patients experiencing blood-brain barrier damage.