Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2005
Case Reports[Labour epidural analgesia for a woman with hereditary macrothrombocytopenia].
Epidural analgesia is often considered as risk of epidural haematoma in a patient with thrombocytopenia. In this observation, uncomplicated epidural analgesia was performed in a pregnant woman with hereditary macrothrombocytopenia. She received continuous epidural labour analgesia for a vaginal delivery with a platelet count at 63x10(9)/l but platelets with high mean platelet volume (20fL) and normal function. No neurological sequelae or excessive bleeding occurred.
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Ann Fr Anesth Reanim · Jun 2005
Case Reports[Medical treatment of an important trachea injury after tracheal intubation].
Tracheal injuries are rare but life threatening complications of anaesthesia. Two therapeutic strategies are presently proposed: a non-surgical strategy for small injuries and a surgical strategy for larger ones. This case report presented the non-surgical therapeutic strategy of a large tracheal injury. This strategy was discussed according to other published reports.
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Ann Fr Anesth Reanim · Jun 2005
Clinical Trial[Fascia iliaca block for femoral bone fractures in prehospital medicine].
The aim of this study was to assess the feasibility and efficacy of fascia iliaca compartment bloc (FIB) in prehospital care performed by emergency physicians. ⋯ Emergency medicine physicians trained to the technique can perform FIB with a high success rate.
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Ann Fr Anesth Reanim · Jun 2005
[Manageability and potential for haemostasis monitoring by near-patient modified thromboelastometer (Rotem) in intensive care unit].
Preliminary assessment of a rotary thromboelastometer (Rotem) in the haemostasis monitoring in ICU. ⋯ Rotem is an easy manipulation device whose concordant and rapid results allow its emergency use in the framework of haemorrhagic situations. It also allows an approach of hypercoagulability states so that the therapeutic implication remains to evaluate. The Rotem offers a dynamic multifactorial approach on total blood of haemostasis that is what makes it a prime aid of haemostasis monitoring, in complement of usual analytic haemostasis evaluation.