Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Apr 2003
Clinical Trial[Identification of risk factors for allogenic transfusion in cardiac surgery from an observational study].
To determine perioperative variables for predicting allogenic transfusion in adult cardiac surgery. ⋯ In despite of techniques to limit requirement of allogenic transfusion, a large proportion of cardiac surgical patients remains transfused. Independent risk factors of perioperative transfusion are haemoglobin level < 12 g x dl(-1), emergency procedure, reoperation, chronic obstructive pulmonary disease and complex surgery.
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Ann Fr Anesth Reanim · Apr 2003
[Evaluation of a medical equipment checklist before intensive care room opening].
To describe and to assess the effectiveness of a checklist concerning the intensive care rooms' equipment before patients' admission. ⋯ The routine use of ROC has improved the adequacy of the ICU room's equipment endowment in our intensive care units.
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Ann Fr Anesth Reanim · Apr 2003
Case Reports[Intestinal gas explosion during operation: a case report].
A case of intestinal gas explosion during the course of carcinologic surgery in a 51-year-old patient is reported. This accident, often dramatic, has become exceptional since the use of mannitol for colonic preparation has disappeared. ⋯ The colon incision with an electrocautery was contemporaneous with a violent deflagration accountable for organic lesions. This case report reminds us that the risk of a dangerous explosion persists in relation with surgical, anaesthetic and individual risk factors.
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Ann Fr Anesth Reanim · Apr 2003
Case Reports[Tracheo-oesophageal fistula. A rare complication of percutaneous tracheostomy].
Percutaneous tracheostomy is more and more used in the intensive care units. However, it's not devoid of risks. ⋯ During the procedure, difficulties occurred during the insertion of the cannula. This case report reminds the importance of a peroperative continuous endoscopic guidance and the need of a rigorous learning.
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Ann Fr Anesth Reanim · Apr 2003
Case Reports[Subdural haemorrhage following lumbar spinal drainage during repair of thoraco-abdominal aneurysm].
Physicians in charge of patients undergoing thoracic or thoraco-abdominal aneurysmectomy, frequently use lumbar spinal drainage of the cerebrospinal fluid (CSF) to prevent paraplegia. Whereas the profit of this technique is a much debated question, we report 2 case reports of delayed sub-dural hemorrhage, after lumbar spinal drainage of CSF. Cross clamping of the aorta decreases the spinal cord artery pressure, increases the cerebral pressure and by alterations of distribution of the venous return, is responsible for an increase of the CSF pressure. ⋯ The two case reports have to be added to the liability of a method of prevention that, as attractive that it is, did not give the proof of its efficiency to decrease the frequency and/or the severity of paraplegia after thoracic or thoraco-abdominal aneurysmectomy. At this time, this technique should be reserved to the patients with documented risk, as it is possible using preoperative spinal cord arteriography. The insertion and the withdrawal of the catheter must be done in the usual conditions of medullar puncture with regard to anticoagulant and antiplatelet agents