Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2011
Case Reports[Haemophagocytic lymphohistiocytosis syndrome: a possible cause of multi-organ failure in severe head trauma?].
We report the case of a 26-year-old patient who was victim of severe head trauma following a trafic road accident. Two days after trauma, she had fever, pancytopenia and multi-organ failure. ⋯ This diagnosis was confirmed by biologic findings (elevated serum levels of ferritin and triglycerid) and histological findings (examination of bone marrow smears showing histiocytes phagocytosing blood cells). The evolution was unfavorable despite of corticotherapy and symptomatic measures.
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Ann Fr Anesth Reanim · Nov 2011
[Use of the Airtraq by inexperienced physicians supervised during a series of tracheal intubation in adult patient with anticipated difficult airway].
The Airtraq optical laryngoscope (Vygon, Écouen, France) is a new intubation device designed to provide a view of the glottis without alignment of the oral, pharyngeal and laryngeal axes. In recent literature, the efficiency of the Airtraq even in difficult intubation and its short learning curve were characterized. The goal of our study is to evaluate Airtraq efficiency when use by inexperienced physicians in anticipated difficult intubation adult patients. ⋯ In the majority of the cases, the insertion of the Airtraq, the visualization of the glottis and the subsequent intubation were easy and rapid, without arterial oxygen desaturation. However, the four tracheal intubation failures associated with prolonged tracheal intubation times in some patients highlight the fact that the Airtraq laryngoscope requires a clinical training process particularly in case of anticipated difficult airway management situations.
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Ann Fr Anesth Reanim · Nov 2011
Letter Case Reports[Cardiogenic shock after venlafaxine poisoning].
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Ann Fr Anesth Reanim · Nov 2011
Letter Case Reports[Respiratory distress revealed a DRESS syndrome].