Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · May 2008
Case Reports[Refractory infectious ARDS: place of extracorporeal membrane oxygenation].
Acute respiratory distress syndrome (ARDS) is a frequent cause of admission in intensive care unit. The treatment is well codified. ⋯ Extracorporeal oxygenation could be the ultimate treatment for these refractory hypoxemia patients. We report two cases of patients suffering from severe ARDS who beneficiated from extracorporeal oxygenation, pointing out the interest of this technique during severe ARDS as well as the accessibility and the feasibility of the technique even apart from a specialized center.
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Ann Fr Anesth Reanim · May 2008
Case Reports[Non-operative management of a hepatic pseudoaneurysm and a biloma complicating a blunt abdominal trauma].
Hepatic artery pseudoaneurysm and bilioma are rare complications of blunt abdominal trauma in children. We report a case in an 11-year-old patient after a hepatic and splenic blunt trauma following a car accident. The initial evolution was simple with haemodynamic stability. ⋯ The first one was treated with a stent and the second one needed three drains: two peritoneal and one in the biloma. The characteristic of this case relies on the association of two complications. It underlines the need of multidiscipline and non-operative management of pediatric blunt hepatic trauma.
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Ann Fr Anesth Reanim · May 2008
[Why should we inform the patients after difficult tracheal intubation?].
Unanticipated difficult tracheal intubation may be challenging to anaesthesiologists. It is still associated with morbidity or mortality. Previous difficult intubation is vital information to organize appropriate airway management. ⋯ We propose in this article an airway alert form, following several criteria published in the literature. This is, in our opinion, an important step to improve the efficiency of guidelines on airway management and the overall quality of the anaesthesia process. Its efficacy to decrease morbidity related to difficult tracheal intubation remains to be demonstrated.
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Ann Fr Anesth Reanim · May 2008
Multicenter Study[Cross-sectional survey of anaesthetic practices in Catalonia, Spain].
The aim of this is study was to describe the epidemiology of anaesthesia practice in Catalonia, Spain, in 2003. ⋯ Females, older patients, or those with poor physical status make high demands on resources, as do procedures in obstetrics, orthopaedics and ophthalmology. These needs must be planned for in the organization of services and training.