Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Aug 2001
Case Reports Clinical Trial[Intraoperative memory. A study of its incidence in general anesthesia in 326 patients].
Measuring the incidence of intraoperative recall in our hospital. ⋯ This result conforms to other studies. This phenomenon is a quality indicator, but probably under estimated. Although retrospective, this evaluation is quick and easy. This research in post-operative period should be systematic in order to find the reason and to propose an early course of action for these patients. An analysis of the anaesthetic protocol is necessary when the frequency of intraoperative recall is too high.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Ilio-inguinal Ilio-hypogastic nerve block with a single puncture: an alterantive for anesthesia in emergency inguinal surgery].
The authors describe the anaesthetic procedure for a strangulated hernia repair needing resection and anastomosis of the small bowel in an adult patient. This procedure was performed with an ilio-inguinal/ilio-hypogastric nerve block according to a paediatrical simplified technique with a single puncture. ⋯ This block associated with a very light sedation was sufficient for all the surgical procedure, and postoperative analgesia was efficient over 3 hours. This simplified nerve block, better than the conventional approach for the clinical practice, represents a recommended alternative for hernia repair in emergency for high risk patients who could have a general anaesthesia or a central block.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Acute rhabdomyolysis after spinal anesthesia for knee arthroscopy].
We report an observation of acute rhabdomyolysis of gluteus maximum muscles occurring in a non-obese patient installed in supine position that underwent knee arthroscopy under spinal anaesthesia. The patient had insulin-dependent diabetes melitus with documented microangiopathy. The interest of this observation resides in the occurrence of the syndrome after a short period of time (one hour) of installation in the supine position in a patient that did not have any of the generally described risk factors of rhabdomyolysis.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Transesophageal echocardiography and air embolism during posterior fossa neurosurgery. Intraoperative detection in the foramen ovale].
Sitting position during neurosurgery is discussed because the risk of venous air embolism and paradoxical air embolism is increased. Preoperative transoesophageal echocardiography is proposed to screen patients with patent foramen ovale to avoid them for the sitting position. This work reported 2 patients in conflict with this screening. It is discussed the physiological principles governing the paradoxical air embolism and the actual recommended monitoring for this position.
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Ann Fr Anesth Reanim · Aug 2001
Case Reports[Mastocytosis: general anesthesia with remifentanil and sevoflurane].
Mastocytosis is a disorder with potential anaesthesia complications. Reviewing the literature, anaesthetic management of mastocytosis is controversial. We report the successful use of remifentanil and sevoflurane in a woman with systemic mastocytosis. No reaction nor histamine release was observed in these cases.