Annales françaises d'anesthèsie et de rèanimation
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The ovarian hyperstimulation syndrome (OHSS) is a complication of controlled ovarian hyperstimulation (COH) protocols performed in women undergoing assisted reproductive technologies. This syndrome is characterized by multiple intra-ovarian corpus luteum and constitution of a third space that can lead to a life-threatening situation. Although the pathophysiology remains unclear, vascular endothelial growth factor (VEGF) and other cytokines, secreted under the influence of exogenous gonadotrophins administered for COH, are involved in increasing capillary permeability. ⋯ Mortality rate, though not accurately quantified, is significant (1/45 000 to 1/500 000) and mostly due to thromboembolic complications. The only effective treatment is prevention, by adapting ovarian stimulation protocols to OHSS risk factors. There are no specific treatments and therapy is mainly symptomatic until the condition resolves spontaneously.
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Ann Fr Anesth Reanim · Apr 2011
Case Reports[Anaphylactic shock in surgery of liver hydatid cyst in children: a case report].
The hydatid disease is common and remains endemic in Morocco. The treatment relies mainly on surgery. ⋯ We stress through the pediatric case reported the exceptional occurrence of anaphylactic shock during surgery and the need for its early recognition in order to establish effective treatment. Prevention relies mainly on surgical precautions taken to avoid seeding of the abdominal cavity.
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Ann Fr Anesth Reanim · Apr 2011
[Psychological experience of health care professionals in intensive care unit: a qualitative and exploratory study].
Study the subjective and emotional experience of health care professionals in intensive care unit in front of sources of professional stress connected to the emergency and to the gravity of the pathologies of hospitalized patients. ⋯ The discussion approaches the question of the feeling of pressure at works and its various items by underlining the interpersonal variations of these experiences, then the question of the emotional adaptation through the individual and collective defensive strategies organized to cope with these various situations.
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Ann Fr Anesth Reanim · Apr 2011
Comparative Study Clinical Trial[High-flow nasal oxygen for severe hypoxemia after cardiac surgery].
High-flow nasal oxygen (Optiflow™) is validated in paediatric intensive care but not in adults' patients for severe hypoxemia. The aim of this study was to evaluate this oxygen system delivery in adults' patients for postoperative hypoxemia after cardiac surgery. ⋯ These results give good arguments for an improvement in gas exchange and better tolerance of high-flow nasal oxygen (Optiflow™) versus classical high-flow oxygen face mask in postoperative cardiac patients. These results must be confirmed by a randomised study with a larger population.