Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Apr 2011
[Efficacy, safety and cost of sedation with sevoflurane in intensive care unit].
To study efficacy, systemic and cerebral haemodynamic, and cost of sedation with sevoflurane after midazolam failure. ⋯ Sevoflurane is an effective and safe alternative to midazolam in ICU patients associated with a moderate increase in costs.
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Ann Fr Anesth Reanim · Apr 2011
Case Reports[Gas embolism: another story related to a central venous catheter withdraw].
Paradoxical gas embolism is rare but life threatening complication of central venous access. In this observation, we report a paradoxical gas embolism accompanied by an acute respiratory failure and a coma following a jugular central venous access withdrawal in a liver transplanted patient. Following this observation, we discuss the prevention of gas embolism accidents and the hyperbaric oxygen therapy for its management.
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Ann Fr Anesth Reanim · Apr 2011
Case Reports[A rare cause of cardiogenic shock treated by extracorporeal life support: catecholamine secreting paraganglioma].
Phaeochromocytoma and paraganglioma are chromaffine tumours secreting catecholamines. They are usually revealed by a paroxystic hypertensive crisis associated with headaches, palpitation and sweats. We reported a case of a young patient presenting a state of life threatening cardiogenic shock as unusual revelation of this tumour, requiring the implementation of an extracorporeal life support until myocardial recovery.
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Ann Fr Anesth Reanim · Apr 2011
[Preterm labour after adenosine treatment for paroxysmal supraventricular tachycardia during pregnancy, a case report].
Paroxysmal supraventricular tachycardia is the most frequent arrhythmia among young pregnant women. In case of failure of vagal manoeuvres, their management is preferentially intravenous infusion of adenosine. ⋯ Adenosine administration was immediately followed by a preterm labour managed by calcium channels blockers tocolysis. Even if causal relationship remains uncertain, this observation is consistent with physiopathological data and should catch physician's attention when initiating this treatment.