Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Oct 2002
Case Reports[Shaken baby syndrome: improvement of cerebral blood flow velocity after a subdural external derivation in a six-month old infant].
The shaken baby syndrome is a severe form of child abuse. The intracranial injuries are associated with a high morbidity and mortality rates. A 6 month-old healthy infant presented at home a cardiorespiratory arrest. ⋯ Transcranial Doppler examination found the cerebral blood flow velocities to be decreased while the pulsatility index was increased. A sub-dural-external drainage allowed the cerebral blood flow to increase and the pulsatility index to decrease. We conclude that transcranial Doppler examination can be helpful for the clinician caring children presenting a shaken baby syndrome.
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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.