Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2002
Randomized Controlled Trial Comparative Study Clinical Trial[Spinal anesthesia in children: comparative study of hyperbaric bupivacaine with or without clonidine].
To evaluate the effect of intrathecal clonidine in children. ⋯ These data suggest that intrathecal clonidine 2 micrograms.kg-1 is associated with extending duration of postoperative analgesia but with moderate side effects.
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Data synthesis on haemostasis effects of cristalloids and colloids and clinical implications for their use for plasma volume replacement. ⋯ Except isotonic cristalloids, all colloids induce haemostastic changes particularly for haemodilution over 30%. Effects are more pronounced with HES and dextran.
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Ann Fr Anesth Reanim · Oct 2002
[Evaluation of the learning curve of a new intubation technique: intubating laryngeal mask].
Assessment of the learning curve of a new device for blind orotracheal intubation: Intubating laryngeal mask. ⋯ The intubating laryngeal mask is a new device for blind orotracheal intubation with an easy learning curve in patients without difficulty in airway management, even for non-selected operators.
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Ann Fr Anesth Reanim · Oct 2002
Case Reports[Convulsions induced by ropivacaine after midhumeral block].
We report a case of central nervous system toxicity induced by ropivacaine following a brachial block at the humeral canal. Forty millilitres 0.75% ropivacaine (4.28 mg.kg-1) were used uneventfully, with slow injections and negative intermittent aspirations. Fifteen minutes later, the patient presented two episodes of generalised convulsions treated by diazepam, 20 mg. The total venous ropivacaine concentration measured two hours after the block was 2.3 mg.l-1.
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Ann Fr Anesth Reanim · Oct 2002
Case Reports[Anesthesia for cesarean section in a Marfan patient with complicated aortic dissection].
We report the anaesthetic management of a 32-year-old pregnant women with aortic dissection and Marfan syndrome for caesarean section. The patient has presented at 31 weeks gestation of a first pregnancy an aortic dissection that required an emergency aortic replacement. Three years later, she presented at 31 weeks gestation with aortic dissection, mitral valve dysfunction and acute pulmonary oedema. ⋯ The initial intrathecal injection of bupivacaine, morphine and fentanyl provided rapid onset of analgesia. Epidural anaesthesia was used with diluted lidocaine and fentanyl boluses. With appropriate preoperative care and monitoring, uneventful combined spinal and epidural anaesthesia for Caesarean section was achieved in a patient with Marfan syndrome in the presence of aortic dissection complicated by mitral valve dysfunction and acute pulmonary oedema.