Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jan 2002
Clinical Trial[Monitoring expired oxygen fraction in preoxygenation of patients with chronic obstructive pulmonary disease].
To compare the rate of preoxygenation before induction of anesthesia in patients with no lung disease and in patients with chronic obstructive pulmonary disease (COPD). ⋯ These results suggest that preoxygenation monitoring may be useful in patients with COPD, to ensure adequate preoxygenation is achieved.
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Ann Fr Anesth Reanim · Jan 2002
Case Reports[Cardiac arrest in a traumatized child from an unusual cause: atlanto-occipital luxation].
We report the case of a trauma child who developed a cardiac arrest due to atlanto-occipital luxation of the cervical spine. The occurrence of a rapidly reversible cardiac arrest in a trauma patient should alert physicians about cervical trauma. ⋯ Thorough application of these resuscitation techniques should increase the survival rate on admission to trauma centres of paediatric patients presenting with such a severe condition. Nevertheless, atlanto-occipital luxation is a major cause of paediatric cervical trauma mortality and our patient did not survive this condition.
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Ann Fr Anesth Reanim · Jan 2002
Case Reports[Difficult intubation in patients with endotracheal prosthesis].
We report a case of two consecutive episodes of difficult intubation in a patient with an endotracheal Dumon's prosthesis inserted two years before. Despite several preanaesthetic visits and ENT examination, the absence of recollection by the patient and the lack of information in her previous medical records led to the impossibility to introduce a normal tube into her trachea during two consecutive anaesthetic procedures. This case points out the limits of preanaesthetic visits. It allows to remind special measures that must be taken in patients having tracheal prosthesis and scheduled for anaesthesia and surgery.
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Ann Fr Anesth Reanim · Jan 2002
Case Reports[Antipublic antibodies and pregnancy: use of iron sucrose in autologous blood donation with cryopreservation].
An autologous blood donation with cryopreservation in a pregnant woman with natural antibody against a high frequency alloantigen is reported. A natural anti Gerbich antibody and a rare erythrocyte phenotype at high risk of polyimmunization was discovered during the third month of pregnancy. This leads to recommend the constitution of an autologous blood reserve. ⋯ Epidural analgesia was used for delivery. No haemorrhage occurred. The reserve was not used and remained available for future use (one year for fresh frozen plasma and without limit for red cells).
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Ann Fr Anesth Reanim · Jan 2002
Case Reports[Pneumomediastinum as a complication of recreational ecstasy use].
Ecstasy recreational use dramatically increased during the last decade in France. Multiples complications associated with ecstasy consumption have been reported. We describe an exceptional case of pneumomediastinum related to ecstasy recreational use. ⋯ Outcome was favorable with symptomatic treatment and the patient was discharged home eight days later. Pneumomediastinum is an exceptional complication after ecstasy recreational use. Physician should be aware of the risk of such event.