Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Mar 2003
Clinical Trial[Which propofol target concentration for ASA III elderly patients for conscious sedation combined with regional anaesthesia?].
To determine the optimal propofol target concentration between 0.9-1.1 and 1.3 mg l(-1), for conscious sedation and amnesia using Diprifusor in ASA III patients over 60 years. ⋯ None of those three concentrations was satisfying in 100% of cases for the three criterias (sedation < S2, amnesia and none side effects). These results suggest that propofol target concentration 0.9 microg ml(-1) could be used safely for sedation in elderly ASA III patients. Moreover, we have shown that amnesia for events requires higher propofol concentrations than amnesia for pictures during conscious sedation.
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To evaluate prehospital management of elderly patients, agreement between prehospital and hospital diagnosis and to observe clinical course during hospitalization. ⋯ Analysis of elderly patient evolution after hospitalisation confirms the idea that the age should not influence the decision and the degree of prehospital medicalization.
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Pregnancy is a rare occurrence in patient suffering from spinal cord lesion. The authors report the case of labour and delivery in a paraplegic patient who was suffering from lesion located T6 level. ⋯ The epidural catheter was maintained for 48 h post-partum. The main risks and anaesthesic management of pregnancy in paraplegic patients are discussed.
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To estimate the waiting times of surgical emergencies and identify causes of delay. Study design. - Prospective study over 36 months. ⋯ This study has permitted to show that the waiting times of surgical emergencies management are abnormally long in Libreville hospital center. There is an important frequency in delays as well for RE as for AE. Socio-economic problems are very important. It seems necessary to organize surgical emergencies management in a specific structure and codify the prescription of complementary medical tests.
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Ann Fr Anesth Reanim · Mar 2003
[Evaluation of 5 years of postoperative pain management in orthopaedic surgery, in a private hospital, following quality standard management].
To report the 5 years' experience of a postoperative pain service according to quality standards management. ⋯ Pain control on mobilization, maintenance of a high quality continuous formation, and development of pain control process in the other surgical departments are the new goals in progress.