Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2014
Comparative Study[Locating the cricothyroid membrane in learning phase: Value of ultrasonography?]
Emergency cricothyroidotomy is recommended as life-saving maneuver when mask ventilation and tracheal intubation are impossible. It requires the puncture of the cricothyroid membrane (CTM) whose clinical identification is difficult. The objective of this study is to evaluate if ultrasound can help locating the CTM by comparing palpation and ultrasonographic evaluation. ⋯ Following a limited training phase, ultrasound allowed a more effective localization of CTM by residents when compared to clinical palpation in overweight patients. This benefit remained significant when assessment was repeated 6 months later.
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Ann Fr Anesth Reanim · Mar 2014
Case Reports[Hemoptysia and postoperative pulmonary edema after general anesthesia for amygdalectomy.]
Acute postoperative negative pressure pulmonary edema with hemoptysia as a complication of general anesthesia is seldom. Its is related to an obstacle on airway, with important negative intrathoracic depression during inspiration leading to pulmonary edema and hemoptysia. Physiopathology and treatment of such complication have been discussed.