Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Dec 2003
Review[Anatomic and physiologic features of upper airways in children].
Anatomy of the upper aerodigestive tract in neonates and young children depends on the craniofacial growth. Skull base forms an horizontal line at birth. This line becomes concave inferiorly during the growth. ⋯ During the first years young children have a predominant nasal breath. Knowledge of the position, the conformation and the axial inferior and anterior obliquity of the larynx does facilitate its visualisation during laryngoscopy or intubation. The narrowness of the nasal cavities in neonates must be analysed in taking care of suprahyoid dyspnea in a neonate.
-
Ann Fr Anesth Reanim · Dec 2003
Case Reports[Continuous lumbar plexus block sets in France. Our experience].
The undeniable postoperative analgesia brought by the lumbar plexus block among patients scheduled for major surgery of the hip or knee justifies, the setting of a catheter to allow a continues analgesia more durable. Having drawn aside the difficulties of the daily practice (in allusion to the number of blocks carried out per day) and anatomical variations, the failure of the perineural catheter setting is in direct relationship with the material used by the anaesthesiologists for neurostimulation. The presentation of a case report describes a failure of catheter introduction due to the canula in deep continuous blocks, and the advantages and disadvantages of the various sets of neurostimulation. The authors conclude that the sets with the "catheter through the needle" are to be recommended, particularly the stimulating Tuohy needle.
-
Management of operating rooms is moving nowadays. Financial constraints as well as new operating practices prompt the hospital manager to optimise the operating room utilisation. ⋯ If the manufacturing management is extensively developed nowadays, the operating room is still running on an intuitive, individual and manual basis. The purpose of this review is to describe the main features of the manufacturing management and to identify those relevant to the management of operating rooms.
-
The use of epidural analgesia and anaesthesia is controversial in patients with multiple sclerosis (MS) due to the potential neurotoxicity of local anaesthetics. The aim of this study was to evaluate the place and the safety of epidural obstetrical analgesia in these patients. ⋯ The results confirm that epidural analgesia is innocuous in this context. The important points are the precise evaluation of the existing neurological symptoms and the sparing of local anaesthetics thanks to the addition of opioids.
-
Our purpose was to characterize the risk factors of eclampsia in women with preeclampsia. ⋯ These data indicate a need for improved prenatal care and medical attention focused on prodroms of eclampsia as well as the detection of preeclampsia to reduce the incidence of eclampsia.