Annales françaises d'anesthèsie et de rèanimation
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To evaluate the 6 hours haemodynamic effects of dopexamine (DPX) infusion in septic shock patients with persistent hyperlactatemia treated with high dose of norepinephrine (NE). ⋯ This study suggests that DPX did induce a decrease in lactatemia in 52% of septic shock, that could be predict by an increase in MAP (>14% within 30 minutes). Controlled studies are needed to confirm those preliminary results.
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Ann Fr Anesth Reanim · Nov 2010
Case Reports[Obstetrical epidural analgesia during labour: one dural puncture, repeated postural headaches, three blood patches…].
We report the case of a patient in whom three blood patches had to be performed to treat a post-dural puncture headache following the insertion of an epidural catheter for labour analgesia. There are few data about repeated blood patches used to treat recurring symptoms after failure of a previous blood patch. The technical guidelines used to perform a first blood patch should be followed for the next procedure as well. The role of the cerebrospinal fluid leaking in the symptoms has to be verified, to avoid performing a useless blood patch and to miss another cause, which needs an urgent treatment.
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Ann Fr Anesth Reanim · Nov 2010
Randomized Controlled Trial[Anxiety: an independent factor of axillary brachial plexus block failure?].
To evaluate the impact of the anxiety level using Spielberger test on axillary block success. ⋯ Patient's anxiety level before axillary brachial plexus block is a risk factor of failure, especially in emergency condition. We suggest anesthesiologists to evaluate patient anxiety prior to block performance. A specific anxiolytic treatment may be recommend in some cases.