Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Feb 2003
Case Reports[Right atrial rupture following a hoof kick to the chest wall].
Several myocardial lesions can be induced by thoracic blunt trauma. It varies from myocardial lesions to heart rupture. ⋯ We describe a successful management of this case. We suggest that a diagnosis of cardiac chamber rupture should be considered in all cases of blunt thoracic trauma.
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Ann Fr Anesth Reanim · Feb 2003
Historical Article[Acute poisoning by chemical warfare agent: sulfur mustard].
To review story, mechanism of action, clinical and therapeutic bases of a sulfur mustard poisoning, by accidental, terrorism or war exposure. ⋯ Emergency care unit can be confronted with sulfur mustard during accidental contamination or acts of terrorism. First and most efficacy priorities of treatment are to remove and to decontaminate victims. New means of detection and treatment are studied since several years but are not still appropriate to human victims or mass treatment.
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Ann Fr Anesth Reanim · Feb 2003
[Laboratory testing measurement of FIO2 delivered by Boussignac CPAP system with an input of 100% oxygen].
CPAP (Continuous Positive Airway Pressure) is one of the treatments of the cardiogenic acute pulmonary edema (cAPE). Among the out-of-hospital used devices, Boussignac CPAP (Vygon) shows a good technical usability, but no analysis of delivered FIO2 is available. ⋯ Boussignac CPAP with 100 vol % oxygen input, delivers high levels of FIO2, especially for volume per minute values usually met in cAPE. The needed oxygen flow is lower than what is usually required by other CPAP flow generators using the venturi effect that may be used in out-of-hospital medical care.
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Ann Fr Anesth Reanim · Feb 2003
[Is obstetric epidural anaesthesia technically possible after spinal surgery and does it work?].
Previous spine surgery theoretically exposes the obstetric patient to a greater technical difficulty during regional analgesia for labour or during anaesthesia for caesarean delivery. Published experience suggests that epidural puncture is however technically possible in the majority of cases. ⋯ With an overall 18% failure rate, epidural anaesthesia is not contra-indicated in these patients but appears to be less reliable than in patients with normal spine. Psychological and technical preparation to the occurrence of failure is necessary.
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Ann Fr Anesth Reanim · Feb 2003
Letter Randomized Controlled Trial Clinical Trial[Unilateral spinal anaesthesia and haemodynamic benefit of low dose hyperbaric bupivacaine].