Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2003
Review[Osmotic cerebral oedema: the role of plasma osmolarity and blood brain barrier].
There are five types of oedema: vasogenic, cytotoxic, interstitial, hyperemic and osmotic. The differences lie on the type and localization of the oedema, the state of the blood-brain barrier (BBB) and the pathological context. Under physiological conditions, the osmolarity of extra cellular fluids (ECFs) is equal on both sides of the BBB. ⋯ The increase in plasma osmolarity as a treatment modality using mannitol or hypertonic saline is based on the same concepts. The most remote indication is the occurrence of a reactive mydriasis in the context of trauma for example. More recently, therapeutic hypernatremia has been proposed to control intracranial hypertension.
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Ann Fr Anesth Reanim · Mar 2003
[In-hospital cardiac arrest resuscitation: medical and paramedical theory skill assessment in an university hospital].
Theory knowledge and attitude assessment about in-hospital cardiac arrest (CA) basic life support by hospital staff. ⋯ This study showed that theoretical knowledge of hospital staff about cardiac arrest diagnostic and management are insufficient from the point of view of national and international guidelines. Analysis is difficult because of weak response number and knowledge people overestimation.