Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2008
[How the drug allergy risk in the intensive care software is considered? About a comparative study].
The aim of this study was to evaluate the way the drug allergy risk was considered in five intensive care software available for the French market. It is an observational study conducted by a survey with the five firms asked during the 26th International Symposium on Intensive Care and Emergency Medicine in Brussels (March 2006). The drug allergic risk is documented to various degrees among the software selections. However, no software proposes an alternative or blocking of the prescription in case of allergy to a drug.
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Ann Fr Anesth Reanim · Feb 2008
Clinical TrialEffects of the knee-chest position on cardiac index and propofol requirements during bispectral index (BIS)-guided spine surgery.
The knee-chest (KC) position is often used for spine surgery. It is considered to promote significant changes in venous return and cardiac output. However, the magnitude of these changes and their consequences on intraoperative haemodynamics and anaesthetic requirements remain to be determined. The goal of the present study was to determine the changes in cardiac index and propofol requirements of patients undergoing spine surgery in the KC position. ⋯ Placing surgical patients in the KC position during BIS guided anaesthesia was associated with marked decrease in cardiac index and propofol requirements. These results suggest that monitoring intraoperative cardiac index via an oesophageal Doppler and depth of anaesthesia with the BIS may be useful in patients undergoing spine surgery in the KC position.
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Ann Fr Anesth Reanim · Feb 2008
Case Reports[Cranial subdural haematoma after spinal anaesthesia treated by blood patch].
The authors report a case of subdural haematoma after spinal anaesthesia. A 36-year-old woman underwent phlebectomy under spinal anaesthesia. ⋯ On the forth day, she was given a blood-patch, which improved rapidly the patient. Recovery was complete.
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Ann Fr Anesth Reanim · Feb 2008
[Evaluation of NT-proBNP as an early biological marker of cardiac dysfunction in septic shock].
To evaluate the NT-proBNP as a biological diagnosis marker of the myocardial dysfunction in septic shock. ⋯ The NT-proBNP can help to detect the cardiogenic share sometimes implied in the haemodynamic failure of the septic shock. However, because of the influence of the renal insufficiency and the respiratory, cardiologic and hepatic comorbidities on its secretion, its use cannot be recommended for patients in septic shock.