Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Aug 2004
Case Reports[Right uncontrollable haemothorax revealing a liver injury with diaphragmatic rupture].
We report a case of a woman with a blunt thoracic trauma and haemorrhagic shock after a road traffic accident. The clinical and complementary examinations revealed an isolated right haemothorax, which was compressive and uncontrollable. The source of bleeding was discovered with delay and during a surgical exploration: it was a liver injury with diaphragmatic rupture but without hepatic herniation and peritoneal effusion. The diagnostic features of blunt diaphragmatic rupture are discussed.
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Ann Fr Anesth Reanim · Aug 2004
[French residents in anaesthesia and critical care - a nationwide survey].
We surveyed the residents in their first (R1) and fourth (R4, last) years of residency in anaesthesia and intensive care in France. ⋯ French residents in anaesthesia are satisfied of their initial choice for anaesthesia and don't regret it at the end of their residency training.
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A 62-year-old woman with severe osteoporosis experienced pulmonary embolism by polymethylmethacrylate after percutaneous vertebroplasty. The patient immediately developed respiratory and cardiac distress, and a computed tomographic scan revealed the presence of cement in the pulmonary circulation. Proper techniques can minimize the risk of pulmonary embolism during percutaneous vertebroplasty: adequate preparation of cement and fluoroscopy during the procedure are recommended.
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Ann Fr Anesth Reanim · Aug 2004
[Disposable material for tracheal intubation: pilot study using Penlon Crystal blades and Penlon Lary Gard sheaths].
The risk of cross infection due to non-conventional infectious agents has led to the development of single-use disposable medical material. For laryngoscopy, two attitudes have been proposed: the use of disposable blades or disposable translucide cover sheaths with steel blades. Practice studies assessing the quality of these devices are scarce, leaving the physician to his own experience. ⋯ In case of use of disposable material, both devices seem to be close in terms of quality of intubation.