Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Oct 2007
Case Reports[Hyperbaric oxygen therapy as an adjunctive treatment for acute mediastinitis due to oesophageal perforation: a case report].
In spite of antibiotic treatment, of progress of resuscitation and surgery, acute posterior mediastinitis remains associated to a high mortality. We report a case of man with posterior mediastinitis by performing of the cervical oesophagus. While his state remained still with the classic treatment, the contribution of the hyperbaric oxygen therapy quickly improved his state. This therapeutics in addition in the usual treatment could improve the survival in this affection.
-
Ann Fr Anesth Reanim · Oct 2007
Review[Closed-loop titration of propofol guided by the bispectral index].
This review analyzes the clinical studies concerning the automated perfusion, or closed-loop, of propofol guided by the bispectral index (BIS). To carry out the maintenance of general anaesthesia by a closed loop propofol-BIS is feasible as shown by studies comprising few low risk patients. ⋯ A second study, bearing on the whole of the anaesthesia of patients ASA I to III undergoing very diverse surgical acts, showed that the closed loop propofol-BIS was more precise than a manual perfusion. This confirms that the closed loop propofol-BIS is not an esoteric research and that it represents a tool with a future for the clinician.