Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Sep 2011
[Assessment of withholding life support and withdrawing life support in a vital emergency department].
To evaluate the practices of withholding and withdrawing of life sustaining therapies in a vital emergencies department and to confront them with Leonetti law procedures. ⋯ The application of Leonetti law in vital emergencies department is flawed. It appears to be necessary to realize new studies and to release official guidelines or recommendations specifically made for emergencies department to improve the practices of withholding or withdrawing life sustaining treatments.
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Ann Fr Anesth Reanim · Sep 2011
Case Reports[A parotitis as primary infection of Lemierre's syndrome].
Lemierre's syndrome is a classical presentation of human necrobacillosis. It is characterized by a primary infection in the face including a septic thrombophlebitis of the internal jugular vein and disseminated metastatic abcesses. ⋯ Most of the time a well-chosen antibiotic treatment against anaerobic pathogens and Gram negative bacilli is efficient but surgery can be useful. We report a case of a 73 years old man, which seems to be unique because it is the first case reported of a Lemierre's syndrome characterized by a parotitis infected by F. necrophorum.
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Ann Fr Anesth Reanim · Sep 2011
Case Reports[Pseudoxanthoma elasticum and obstetric epidural analgesia: report of a case].
Pseudoxanthoma elasticum is a rare inherited disorder of the elastic tissue characterised by multisystem manifestations. Skin, eyes, gastro-intestinal system and cardiovascular system are the major affected systems. We describe the anaesthetic management of a parturient affected by this disease.
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Ann Fr Anesth Reanim · Sep 2011
[Endotracheal tube cuff and nitrous oxide: bench evaluation and assessment of clinical practice].
To evaluate the risk of over-inflation of endotracheal tube cuffs (ETC) when used with nitrous oxide (N(2)O); to assess the rate of under and over-inflation of ETC when they are inflated without a manometer; to survey anesthesiologists about how they prevent these risks. ⋯ There are risks induced by the use of N(2)O with tracheal tubes. This study provides data to sensitize users to these risks.